Name*
Name*
First
Last
Free Text
Address*
Street Address
Address Line 2
City
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific
ZIP Code
*Phone
Company*
Line #*
Work to be completed*
Free Text
Spiral Information
Type of Spiral Uprunner Downrunner Type of Box Freezer Cooler Proofer Ambient
Name brand of spiral:
Free Text
Belt
Type of Belt: Stainless Plastic
Footage of Belt:
Width of Belt:
Free Text
Track / Hold Down
Number of Track System: 2 3 4 Size of Track: 3/16 1/4 3/8 Other Hold Down Track Size: 3/16″ 1/4″ 3/8″ Other Free Text
Drivebar Caps
Type of Drivebar Cap: Trapezoidal Flat Grooved Ribbed Drivebar Cap Size: 3/16″ 1/4″ 3/8″ Other
Number of Drive Bar Caps:
Length of Drive Bar Caps:
Center to Center of Drive Bars:
Cage Radius:
Free Text
Shafts & Rollers
Diameter of Conveyor Shafts: 2″ 1-1/2″ 1-7/16″ 1-3/8″ 1-1/4″ 1″ Other
Length of Conveyor Shafts:
Roller Size: 4″ 4-1/2″ 5″ 5-1/2″ 6″ Other
Quantity of Rollers:
Free Text
Necklace Ring:
Necklace Ring Radius:
Number of Tooth Segments
Type of Bullchain: 100 120 140 160 200 4000 4073 Other Return Wheel: Yes No Free Text
Gear Box:
Main Drive Gearbox Shaft Size:
Main Drive Gearbox Key Size:
Main Drive Gearbox # of Teeth:
Free Text
Idle Sprocket:
Idle Sprocket Number of Teeth:
Idle Sprocket Bore Size:
Tension Sprocket Number of Teeth:
Tension Sprocket Bore Size:
Free Text
Tension Tower:
Tension Tower Clutch bore size:
Tension Tower Clutch key size:
Tension Tower Clutch Number of Teeth:
Tension Tower Clutch Size of Chain: 50 60 80 Other
Tension Tower Gearbox Sprocket Bore Size:
Tension Tower Gearbox Sprocket Key Size:
Tension Tower Gearbox Sprocket # of Teeth:
Tension Tower Gearbox Sprocket Chain Size: 50 60 80 Other Tension Tower: Single Loop Double Loop Free Text
Bearings:
Top Bearing Size:
Bottom Bearing Size: