Company Name: *
Contact Name: *
(Ex. John Doe)
Day Phone:
Fax:
E-Mail: *
Application :
Please Specify
New
Existing
Temperature of Environment:
(In Fahrenheit)
Voltage Requirements:
Please Specify
120
240
Dual
Other
If
Other please specify, otherwise leave blank
Hz:
Please Specify
60
50/60
50
Number of Speeds:
Please Specify
Single
Two
Three
Motor Specifications:
(Please click
HERE
and specify the following)
Shaft dia./ length in inches:
Flat or Full round:
Please Specify
Flat
Full round
If Flat, specify
length, otherwise leave blank
Rotation: (viewing shaft)
Please specify
CW
CCW
Ball bearing or sleeve:
Please specify
Ball bearing
Sleeve
Cooling Fan:
Please Specify
Yes
No
Motor Mounting:
Shaft End or
Opposite Shaft End:
Please Specify
Shaft end
Opposite shaft end
Other
If Other please
specify, otherwise leave blank
Taps or Bolt Extensions:
Please Specify
Taps
Bolt Extension
Other
If Other please
specify, otherwise leave blank
Termination Preferences:
Wire leads
w/bear
wire strip:
Please Specify
Yes
No
If Yes, specify
lead length, otherwise leave blank
Attached 1/4" terminals:
Please Specify
Yes
No
If Yes, specify
location, otherwise leave blank
If bent, please specify
degree
Other:
Torque:
(Oz/In)
Fan Preferences:
(Check the boxes next to the fan type
you require and continue with the specifications for that type.)
Axial
If you checked Axial please
specify the options below:
Blade Type:
Please Specify
Metal
Plastic
Blade Rotation:
Please Specify
CW
CCW
Blade Diameter in
inches:
Centrifugal
If you checked Centrifugal
please specify the options below:
Requested material:
Blower wheel specs:
Crossflow/Tangential
If you checked Crossflow/Tangential
please specify the options below:
Blower length in inches:
Other
If you checked Other please
enter a brief description of the motor type you require:
Please describe:
RPM:
(Free air)
Static Pressure: (if known please
specify)
Questions or
Comments:
(Please enter anything here that you feel would be important for us
to know)
*** Please
fax us a set of blue prints of you have them to 231-941-7566
***