Snail Mail: P.O. Box 700, 4209 Jayhawk Drive, Dodge City, KS 67801-0700
E-Mail: curtis@curtismachine.com
Phone#: 1-620-227-7164 Fax#:1-620-227-2971
Toll Free in the USA: 1-800-835-9166
| Company Name: | * | Contact Name: | * |
| Phone: | * | Email: | * |
| USA: please enter area code;
International: please enter Country code, City code, and Phone number |
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| City: | State: | ||
| Zip Code: | Country: | ||
| Billing Address: | Fax: | ||
| Shipping Address: | P.O. Number:
(if ordering) |
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| Application: | |||
| Is This a Prototype? | Yes
No |
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| Annual Usage: | Release Qty.: | ||
| Horsepower or Torque: | Hours of Life Required: | ||
| Please Select Shaft and Gear
Arrangement Required:
(please note, the image will change with Netscape 3.0 or higher You may need to click on the image on some browsers) |
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| Select Input Shaft Location: | |||
| Input RPM: | Output RPM: | ||
| Shaft Diameter: | |||
| Shaft Length From Cap: | Or From Centerline: | ||
| List Other Non-Standard Requirements
Please note driver and driven shafts: |
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| Curtis Machine Company can calculate overhung loads
when provided with additional information. Please fill in the following
so that we can calculate your overhung load rating :
(See Overhung Load Diagrams on Engineering Data Sheet) |
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| Location of Load, Clockwise in Degrees: | Overhung Load Dimension:
(centerline of load to centerline of unit) |
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| Rotation of Overhung Shaft: | Clockwise
Counterclockwise |
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| Driver Diameter: | Driven Diameter: | ||
| Chain or Belt Center Line Spread: | Unit Of Measure Used: | ||
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| Please print this form and fax to 620-227-2971 | |||