GRAPHALLOY
GRAPHALLOY INQUIRY SHEET

CONTACT INFORMATION

Company Name :

Contact Name :
Address :
City :
State :
Country :
Postal Code :
Tel. No. :
Fax No. :
E-mail :
Where did you hear about GRAPHALLOY?
Publication : Name of Publication
Search Engine : Name of SearchEngine
Colleague :  

EQUIPMENT:

Type :
Manufacturer :
Existing/New Design :
Bearing now used? :
Why Changing :
OPERATING CONDITIONS:
Temperature F C
Load: Radial Lbs Kgs
Axial or Thrust Lbs Kgs
Speed: Rotating RPM Linear Units?
Reciprocating?
Oscillating?

DutyContinuous/intermittent?

Environment Surrounding bushings?
Contaminates?
Abrasives:(Type/Size/Concentration)
SHAFT:
Horizontal or Vertical
Shaft or Bushing rotates?
Diameter Tolerance +/-
Material
Hardness
Finish

Misalignment Anticipated?

Span between bushings ?
HOUSING:
ID
Tolerance +/-

Length

Material
QUANTITY:
Bushings per machine
Quantities to quote
TIMING:
Shipment needed by
Quotation needed by
Please use the space below to note any special conditions and information.