majancart

<p>[text* your-name placeholder "Name*"] </p>
<p>[email* your-email placeholder "Email*"] </p>
<p>[tel tel-115 placeholder "Phone"] </p>
<p class="label">Would you like to request a quote?</p>
<p>[checkbox* checkbox-quote exclusive "No" "Yes"]</p>

[group quote]

<p class="label">What type of Transformer are you interested in?</p>
<p>[checkbox checkbox-oildry exclusive "Dry Type Transformer" "Oil Filled Transformer"]</p>

  [group oil]

<p class="label">Where are the primary and secondary bushings located?</p>
[checkbox checkbox-oil1 exclusive "Both on the front side behind lockable doors (Pad mount style)" "HV & LV bushings on 180 degree opposite sides – one on left side and the other on right side (Unit substation style)" "Top HV & Top LV bushings or Top HV & Side LV (Station type style)"]

<p>[checkbox checkbox-oil2 exclusive "Regular Mineral Oil" "Envirotemp FR3 high flashpoint, biodegradable vegetable fluid?"]</p>

<p class="label">What type of primary bushings?</p>
<p>[checkbox checkbox-oil3 exclusive "Live Front" "Dead Front"]</p>

[checkbox checkbox-oil4 exclusive "Radial Feed (3 bushings)" "Loop Feed (6 bushings)"]

[checkbox checkbox-oil5 exclusive "bayonet fuses " "two or four position load break switch" "lightning/surge arresters"]

  [/group]

  [group dry]

    [checkbox checkbox-dry1 exclusive "an enclosure" "core & coils to retrofit into an existing enclosure"]

    [group retro]

<p>If dry type retrofit – what are the existing enclosure dimensions? </p>
<p>[text your-height placeholder "Height"]</p>
<p>[text your-width placeholder "Width"]</p>
<p>[text your-depth placeholder "Depth"]</p>

    [/group]

    [checkbox checkbox-dry2 exclusive "fans (120V motor)" "fans (240V motors)" "fans (120V motor) with digital temperature controller" "fans (240V motors) with digital temperature controller" "digital temperature controller"]

  [/group]

<p>[checkbox checkbox-376 exclusive "Copper windings" "Aluminum windings"]</p>

<p>[checkbox checkbox-32 exclusive "New" "Reconditioned"]</p>

<p class="label">How quickly would you want/need delivery?</p>
<p>[checkbox checkbox-192 exclusive "1-2 days" "1-2 weeks" "2-4 months" "longer"]</p>

<p class="label">Attach any drawings of existing unit to assist with correct dimensions.</p>
<p>[file file-289 limit:10mb]</p>

<p>[text your-citystate placeholder "Your Shipping City & State"]</p>

[/group]

<p>[textarea your-message x4 placeholder "Message"] </p>

<p>[submit "Send"]</p>