General Application Data

Machine Type

Prime Mover Data:

Type Motor	Rated hp	rpm
Reduction	Shaft Location HS	LS
Frame	No. of Cylinders	Clutch	Flexible Coupling

Operating Conditions:

Number Torque	Duty Cycle
Distance between Shaft Ends (DBSE)	Reversing Application
Offset: Horizontal Vertical	Shaft Operates
Required Length Collapsed	Required Length Fully Extended
Driver Shaft Size Length	Driven Shaft Size Length
B-10 Lifehours Required	Notes

Company Name	Fax
Address	Phone
State	Email
Zip Country	URL
Preferred Payment Method	Preferred Shipper
Shipper Account No.


SHIPPING INFORMATION - IF DIFFERENT FROM ABOVE
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Copyright © 1997 - 2005
Power Components, Inc. All rights reserved.
Revised: June 13, 2003