Industrial AC & DC Motors Questionnaire

In order to quote you the best price, we request that you answer ALL the following questions.

Required Fields

Company Details		Date
Primary Company Activity
Contact Name		Position
Tel	( )	Email Address
Fax	( )	Cell
Address:
APPLICATION DESCRIPTION		New / Replacement	New Replacement
Quantity Units Required		When required by
DUTY:	S1 S2
Gearbox Style	Right Angle Worm Inline Gearbox Planetary
Power	kW RPM Supply Voltage Phase AC DC
Torque Required Variable Fixed
Will motor be driven by Variable Speed Drive? Yes No
If driven by VSD would you like BirCraft to quote on the VSD? Yes No
Duty Cycle  Continuous Intermitent    Running Time    Stop Time    Duty Cycle  /hour
Rotation:	Left Right Reversible
Enclosure / Protection:	IP IP ratings = 20,23,44,55,56,66 & more
Ambient Conditions:	Clean Dusty Moisture Sea Tropical Other
Type of Winding (if DC):	Series Compound Shunt Perm Magnet Brushless DC Other
Mounting:	B3 B5 IEC - B14 IEC Special Sending Drawing
Electromagnetic Brake	Yes No	Thermal Protection:	90 110 130 º C
Altitude		Ambient Temperatures º C:
Space Limitations:	Yes No
Environment:
Protection:		Cooling:
Any Other Important Factors / Requirements / Accessories
Perceived Price Range	R
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