Application Quote

Application Quote

Fields marked with an asterisk (*) are required.

Company Information

Company*

Name*

Address*

City*

State*

ZIP / Postal Code*

Country

Phone*

Fax

Email*

Application Type

Hydraulic

Pneumatic

Description

Response Information

Date Quotation Required

Proposal Drawing Required

Date Prototype Requested

Initial Quantity Required

Initial Shipment Required

Annual Quantity Purchase

or provide advanced information, below.

Advanced Information

Capacity (lb-in)

Operating Torque

Operating Pressure (PSI)

Holding Torque

Maximum Holding Pressure (PSI)

Accelerating Torque

Decelerating Torque

Maximum Rotation

Fluid Type

Operating Temperature (° F)

Min

Max

Duty

Maximum Rotation Speed

Degrees per Second

Cycle Time - Over and Back (seconds)

Cycle Rate (per hour)

Cycle Description if special

Cycle Life Required

Environment

Physical

Maximum Height (in)

Maximum Width (in)

Maximum Length (in)

Maximum Weight (lb)

Mounting:

Other Mounting

Shaft:

Other Shaft

Shaft End:

Other Shaft End

Ports:

Other Ports

Loads

Maximum Shaft Overhung Load (lbs)

Distance from Actuator Face Overhead Load is Applied (in)

Shaft Thrust Load (lbs)

Additional Loading (describe)