Precision Slip Clutches-Quote Request Form

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MECHANICAL MOTION CONTROL PRODUCTS
MECHANICAL MOTION CONTROL PRODUCTS
PRECISION SLIP CLUTCHES
|
QUOTE REQUEST FORM
Date
Address ____________________________________________
_______________________________________________________
Company Name
______________________________________
City ____________________________ State/Prov. __________
Contact
_____________________________________________
Country ____________________ Zip/Postal Code __________
Quantity
____________________________________________
Telephone ___________________ Fax ___________________
Email _______________________________________________
1. Application Information
Overload Protection
Torque Control (i.e. bottle capping, screwdriver)
Constant Tension/Force
Brake
Soft Start/Cushioned Stop
Positioning Hinge
Other ___________________________________________________________________________________________________________
Operating Environment: (list specific requirements, # corrosives, water, etc.)
__________________________________________________________________________________________________________________
Orientation:
Vertical
Horizontal
Temperature Range: ___________________________
Type of Equipment: ___________________________________________________
Other Application Information: ________________________________________________________________________________________
2. Clutch Information
Polyclutch Part Number (if known): _______________________________________
Mechanical Slip Clutch
Pneumatic Slip Clutch
One-Way Clutch
Jaw Clutch
Combination
Torque Range: ____________________
lb-in
Nm
Other ________________________
Type of Mount (select one):
Shaft/Shaft Mounting
Shaft Through Mounting
Other _______________________
Input Shaft Diameter: _________________
Input Shaft Diameter: _________________
____________________________
Output Shaft Diameter: _______________
Output Type: ________________________
____________________________
(gear, pulley, frame...)
RPM (at the clutch): _____________________
Duty Cycle (percentage of the time the clutch will be in slip condition): _____________________
Maximum Space Limitations (envelope size, only if a limitation exists): _____________________
Life Requirements (number of cycles, only if a specification exists): _________________________
213
213
Phone: 262-786-1500 or 800-298-2066 | Fax: 262-786-3280 | Email: |

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