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Your Name:
Title:
Position:
Company:
Address:
City:
State:
Zip:
Country:
Tel:
Ext:
Fax:
Best time to call:
E-mail address:
Preferred method of contact:
Belt Number (if known):
Strands per foot:
72
54
51
48
42
34
32
27
25
24
15
Other
Strands per foot if Other:
Wire Diameter (in):
0.035"
0.050"
0.062"
0.072"
0.082"
0.092"
Other
Wire Diameter (in) if Other:
Overall belt width (in):
Number of spaces across width of belt:
Are all spaces same size?:
Yes
No
If not please advise space widths:
Edge Configuration:
Wire Material:
302 Stainless Steel
Music Wire
High Carbon Steel
Specialty
Wire Material if Specialty:
Quantity Needed (feet):
Does the belt have raised flights?:
Describe the shapes of the flights:
Are the flights all:
How tall are the flights (in):
How wide at the top (in):
Are the flights in every space across belt width?:
Yes
No
If If No describe placement:
Are the flights centered in each space?:
Yes
No
If If No describe placement:
Is there one flight per space or several?:
One
Several
If several, describe layout:
Do the flights line up across the width of the belt?:
Yes
No
If No measure location of each from the center of the:
How many straight or flat wire belt strands occur between the flights:
Will you be faxing a simple sketch of your belt showing the flight pattern?:
Yes, Fax to 603-644-3600
No
Do you want subscribe to our Newsletter?
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No
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