Conveying System Information Data Form
(Note:  Fields marked by * are required)
Your Name :*
Company Name: *
E-Mail: *
TEL: *
FAX:
Address: *
City: *
State/Province: *
 
Zip/Postal Code: *


Application Details:
Material Being Handled:
Bulk Density: 
Temperature: (Indicate whether °F or °C) Max:  Min: 
Particle Size:      Moisture Content: 
Material is (check all that apply)
Abrasive Adhesive Corrosive Free Flowing Sticky Explosive
Other (specify) 
System Will Operate: Hours/day Days/week 
Conveying Distances: Horizontal  Vertical 
Number of 90° Bends:  System Located:  Inside:Outside:
Convey Rate: 
Materials of Construction: 
Electrical:  Voltage:Phase:  HZ:
Motor Requirements:  TEFC   Exp. Proof  Class/Div.

Other requirements or information you'd like us to know:

Note:  A drawing, even a crude sketch of your proposed system, will help us evaluate your needs.  You can either fax this to us (704.545.8345) or send as an e-mail attachment.


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