Company Name:
Nature of Business:
Individual Contact:
Title:
Address:
City:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississppi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country:
Postal Code:
Telephone:
Fax:
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Core/Shaft Information

Inside diameters of cores used: in.
Core material:
Shaft diameter: in.
Shaft Length: in.
Maximum Roll Weight: lbs.
Maximum Roll Width: in.
Minimum Roll Weight: lbs.
Minimum Roll Width: in
Maximum Web Speed: fpm
Maximum Roll Diameter: in.
Maximum Web Tension:

Present Application

Equipment Manufacturer:
Machine type:
Products manufactured.:
Used on: Unwind Rewind
Center wind Surface wind
Drum supported Yes No
Hoisted: Yes No
Air pressure available: psi

Present Shaft and/or Chuck Assembly

Manufacturer:
Shaft material:
Shaft wall thickness: in.
Shaft weight: lbs.
Quantity of new bladder chucks required:

Problems or Other Comments:

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File to upload: