FORM to USA Volmar Agent

DATA SHEET, pertinent to STEAM SHIPS or MOTOR VESSEL,
directed to obtain from VOLMAR a cost effective offer of Moletron
(for Purchasing or in Rental for Trial)

**Shipowner's**
Name:
Address

Ship's name		and type
Fuel oil in use		and its viscosity
Daily F.O. consumption		Max Engine output

Pertinent only to STEAM SHIPS.
Brief description of combustion difficulties in Boilers

Pertinent only to MOTOR VESSELS.

Engine type or model

Engine Brand name

Brief description of combustion difficulties