Request for Quotation

Company Name*

Contact Name*

Address*

City*

Phone*

Fax

   *Required

PRODUCT AND APPLICATION INFORMATION

What is the product to be conveyed?

What is the density of the product?

What is the particle size?

What are the special characteristics of the product?

What is the capacity required per hour?

What is the usage/hours per day/days per year?

PHYSICAL REQUIREMENTS

Length (Centerline of Inlet to Discharge)

Incline in degrees or rise in feet

Number of inlets

Number of discharges

Reversing?

Clearance restrictions around the conveyor?

MOTOR AND DRIVE REQUIREMENTS

TEFC   Explosion Proof

Voltage 120V    220V   440V

Hertz

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Please fill out and return with any drawings or sketches that may help provide an accurate quotation. Thanks for your interest in Rapat products.