SERAPID RFQ Questionnaire

Contact Information

First Name:  
Last Name:  
Title:  
Company:  
Address:  
P.O. Box:  
City:  
Province:  
Postal Code:  
Phone:  
Fax:  
Email:  
Brief Description of Application:  
 
SERAPID Rigid Chain Specifications:
Max. Thrust Force ft (lbf): 
Max. Travel (inches): 
Max. Speed (FPM):
Max. Load Weight (lbs.):
Number of Cycles / Hour:
Hours of Operation / Day:
Load Dimensions (inches): width    depth   height
Is Load Guided? Yes  No
Are Shocks Present? Yes  No
Load Motion:

Horizontal    Vertical    
Angled
  deg.

Controlled Acceleration / Deceleration? Yes  No
Describe Environment:
Can Chain Be Guided? Yes  No  Fully?  Partially?
Can Chain Be Supported? Yes  No  Fully?  Partially?
Front of Chain Attachment: Bolted to load  Loose
Positioning Accuracy Required:
Number of Positions:
Positioning Method:

Shaft mounted cam switch  
Limit/prox. switches  Encoder

Power Supply: Electric AC  Electric DC 
Pneumatic   Hydraulic
Chain Return Preferred:  (indicate # from chart below)