Request for Conveyor Quotation

Company name:

Address:

Contact:
Title:
Phone:
Fax:

Please fill out a sheet for each conveyor as specifically as possible. Please use ( / ) for "no preference"

Unit # Requested delivery date:

Unit Description (to appear on all documents):

Overall length: feet inches Maximum width: inches

Conveyor frame material:

Aluminum Extruded Aluminum Stainless Steel Mild Steel (painted)

Infeed height (top of belt): Discharge height (top of belt):

Side guides: YES NO Height: Adjustable: YES NO Range:

Belt requirement:
Brand: Style: Width: Accessories:
Motor requirement: Brand: Voltage:
AC DC Inverter Duty Washdown Duty Explosion proof

Reducer requirement: Brand:
Foot Mounted Shaft Mounted Washdown Duty

Bearing requirement: Brand:
Two bolt Three bolt Four bolt Washdown Duty

Conveyor speed: Feet per minute

Product: Product weight: lbs. per square foot

Please provide any additional information or requirements.