Questionnaire

Company: *

Contact person: *

Function:

Address:

ZIP

City:

Country

Phone:

E-Mail: *

Application (including environmental conditions)

Environmental factors, temperature, corrosion, ...

Torque to be transmitted

MD = Ncm

Direction of operation

anticlockwise

clockwise

both

Main direction of operation

clockwise to anticlockwise

anticlockwise to clockwise

Load type

by hand

permanent operation (motor)

temporary

Interval

Torque range

n = rpm

Acceptable torsion

clockwise °

anticlockwise °

Minimum operating radius

mm

stretched length

mm

connections of the shaft

Driving connection, permanent operation (motor), Actuator, Gear box , Material, ends pressed or plastic coated plastic coated, Pull-off force

Outer casing, guidance of the shaft

Outer diameter, Material, Tensile strength, connections for screwing or plug-in

result of endurance test

life cycle

Annual demand

piece

meter

Requested delivery date/production start / SOP

First delivery quantity

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