Light-Medium-Duty Roll Up Covers-Quote Request Form
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1
2request
for quote
Light/MediuM-duty RoLL up CoveRs
Date
__________________________________________
Address
_____________________________________________
Company Name __________________________________________
City
___________________________ State/Prov. _________
Contact
__________________________________________
Country
_______________________ Zip/Postal Code _________
Quantity of Covers Needed ___________________________________
Telephone
_____________________ Fax ____________________
E-Mail
_____________________________________________
1. AppLiCAtion
5. CoveR oRientAtion & shAde exposuRe to WoRk AReA
Roll Up Cover Type
Note: Two choices required from this section.
q Roll Up without canister q Roll Up with canister (*page 2 required)
First choose cover orientation, then indicate direction of contaminant.
Shade Material
q Horizontal #1 **
q Horizontal #2 **
q Coated Fabric q Metal
q C ontaminant
Based on your application, Gortite will choose the material which best
TOP
from the Top
meets your requirements.
q C ontaminant
Existing Cover or New Design?
TOP
from the Bottom
q Existing Cover
Machine Make: (enter if known) ____________________________
**Please specify below how shade will be used:
Machine Model/Part#: (enter if known) _______________________
q Unsupported Shade q Supported Shade
q New Design
Please supply a sketch/drawing/CAD file
(DWG or DXF file format)/photo of your application
Provide distance between supports:
2. enviRonMentAL Conditions/pRoteCtion foR:
_____ (inches)
?
Please check all that apply:
Light
Medium
Heavy
SUPPORTED SHADE
q Machining
q Hot Chips?
q
q
q
q C utting Oils/Coolants/Lubricants
q
q
q
q C hannels to be included by A&A Manufacturing upon request:
Specify Type: ________________________________________
(Customer drawing recommended, otherwise A&A Manufacturing
(provide MSDS composition pages)
will provide dimensions with quotation)
q P articles (specify type below)
q
q
q
q C-Channel Supports q Z-Channel Support
(e.g. aluminum, glass, wood) ____________________________
q Water/Moisture
q
q
q
q Grinding & Swarf
q
q
q
q Weld Splatter
q
q
q
Channel Material: q Aluminum q Steel q Stainless Steel
q Electrostatic Requirements (specify) _________________________
q Clean Room
q Crossrail #1
q Crossrail #2
q Dry
q Safety or Dust Cover
q C ontaminant
q FDA
from the Front
q Chemicals (specify % and type below)
FRONT
q C ontaminant
FRONT
_______________ q 0% to 35% q 35% to 55% q 55% to 100%
from the Back
Temperature Range: Ambient: _____ Minimum: _____ Maximum: _____
Maximum Travel Speed: ____________________________________
Acceleration (please indicate units of measurement): _______________
q Vertical Top #1
q Vertical Top #2
q C ontaminant
Movements/Day: __________________ Axis: __________________
from the Front
3. diMensions
FRONT
q C ontaminant
Shade Width: ____________________________________________
from the Back
FRONT
Maximum Allowable Width for Roller or Canister: ___________________
Travel Distance: __________________________________________
Total Shade Length: _______________________________________
q Vertical Bottom #1
q Vertical Bottom #2
Maximum Roll Up Diameter: __________________________________
q C ontaminant
from the Front
FRONT
4. RoLLeR Mounting BRACkets
FRONT
q C ontaminant
Note: If Roll Up Cover without canister, bracket size is determined by
from the Back
maximum roll up size.
q None q Yes (choose from selection below)
6. shAde Mounting BRACket
K1
K2
K3
K4
K5
K6
K7
K8
q
q
q
q
q
q
q
q
x
q
q
q
Required
Standard
Option
Choose One
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