Information Request

Please complete as much of this form as possible or is applicable, and feel free to fax or email us a sketch plan if necessary.

Company:
Contact Details
Name:
Contact Position:
Address:

Country:
Postal Code:
Phone:
Fax:
Email Address:

Type:
Goods/Materials to be handled
Size Max:
Size Min:
Weight Max:
Weight Min:

A) Roller conveyor
Total Length:
No. of Runs:
Run Length:
Bends:

Roller Width:
Roller Diameter:
Pitch/Centres:
Roller Axle:

B) Belt Conveyor:
Number Required:
Total Length:
Width
Belt Speed (M/S) (approx.)
Variable Speed Max:
Variable Speed Min:
Belt Type:
Supply Phase:
Voltage:

Conveyor Height:
Adjustable:	From to
Inclined:	From to

Any Other Details: