REQUEST FOR ORDER FORM
(GEAR REDUCER)

Please fill out the following form and email it to us:
Brand of Gearbox:
Type #/ Part #:   
Design:

Ratio or output speed:
If speed variator:
Min. RPM / Max. RPM                                   /
Horse power rating:
Input dimensions:
      If female input:
                                           (shaft diameter and outside diameter of input flange)
      If male input:                                                    (shaft diameter and length)

Mounting type:
     If base mount:                                                  (dimensions)
      If output flange mount:                                      (dimensions)
      If torque arm mount:                                          (dimensions)

Output shaft type:
      If solid:
      Output shaft height:                                           (dimensions)

General info:
      Gearbox orientation:
      Service factor required:

 

 

Special Notes regarding this gear reducer (please indicate quantities, special modification required, deliveries needed etc.)
Please fill out the following: 
Your Company Name: Address: Contact Number: Type: Nature of Business:                                                            IEC METRIC MOTORS Form