Customer Information

Company Name:
Date:
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:
Email:

General Specifications

Application:
Machine Manufacturer:
Model:
Material Basis Weight (lb):
Thickness (in.):
Single Brake or Dual Brake?:   Single      Dual
Max. Web Speed (feet/min):
Max. Roll Weight (lbs):
Max. Roll Diameter (in):
Max. Core O.D. (in):
Web Material:

Tension

Max. Linear Tension (PLI)       X      Max. Web Width (in.)

Min. Linear Tension (PLI)      X     Min. Web Width (in.)

Air Pressure Available (90 psi recommended):

Emergency Stopping Time (seconds):

Problems with current brakes
Pad Wear        Maintenance   Noise   Other
            Other:

Shaft Details

A = in.
B = in.
C = in.
D = in.

Keyway:
       Width in.
       Depth in.

Comments:

Please attach a drawing or sketch if possible - or fax to (508)580-2915.

If you do attach a file, please click the Submit button just once,
then allow a short time for uploading.

File to upload:

Thank you.