Your Name:

Company:

Address:

Zip:

Country:

Fax:

Best time to call:

A.M. P.M.

E-mail address:

Phone E-mail Fax

Product to be conveyed:

Size and shape of product:

Weight of product: (individual product weight) (lbs)

Maximum load & how distributed (lbs./ft. squared):

Operating temperature range: (deg. F)

Will the conveyor be positioned near a heat source:

Yes No

Standard height: 38" ± 2" (965mm ± 50mm)

Requested belt speed:

Feet per Minute (FPM)