Your Name: |
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Title: |
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Position: |
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Company: |
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Address: |
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City: |
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State: |
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Zip: |
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Country: |
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Tel: |
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Ext: |
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Fax: |
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Best time to call: |
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E-mail address: |
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Preferred method of contact: |
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Belt Number (if known): |
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Strands per foot: |
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Strands per foot if Other: |
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Wire Diameter (in): |
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Wire Diameter (in) if Other: |
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Overall belt width (in): |
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Number of spaces across width of belt: |
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Are all spaces same size?: |
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If not please advise space widths: |
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Edge Configuration: |
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Wire Material: |
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Wire Material if Specialty: |
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Quantity Needed (feet): |
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Does the belt have raised flights?: |
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Describe the shapes of the flights: |
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Are the flights all: |
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How tall are the flights (in): |
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How wide at the top (in): |
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Are the flights in every space across belt width?: |
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If If No describe placement: |
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Are the flights centered in each space?: |
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If If No describe placement: |
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Is there one flight per space or several?: |
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If several, describe layout: |
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Do the flights line up across the width of the belt?: |
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If No measure location of each from the center of the: |
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How many straight or flat wire belt strands occur between the flights: |
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Will you be faxing a simple sketch of your belt showing the flight pattern?: |
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Send me a copy
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 Required field |
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