Mega Lift Systems, LLC

	Please complete the three steps below to help us determine if Plunger Lift is right for your well
	Contact Information
	Your Name:
	Company Name:
	Street Address:
	Street Address: (continued)
	City / State / Zip Code:
	E-mail Address:
	Phone Number:	ext:
	Fax Number:	ext:

	Well Information
	Casing Size:	(in.) (lb.)
	Shut-in Casing Pressure:	(PSI)
	Tubing Size:	(in.) (lb.)
	Depth of Tubing:
	Perforations:	(PSI)
	Sales Line Pressure:	(PSI)
	Gas Rate:	(Mcf/D)
	Oil Fluid Rate:	(Bbl/D)
	Water Fluid Rate:	(Bbl/D)
	Seating Nipple:	YES NO
	Packer:	YES NO
	Additional Comments:

	Send Information
	Click send to E-Mail this information to Mega Lift Systems.

Contact Information