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Printable version for Faxing and Floor Use

Online Data Submission Form

Dimensions(inches)

A:      E:
B:      F:
C:      G:
D:      H:

Company Information

Company Name:
Address:
City/State/Zip:
Contact Name:
Date:
P.O.#:
Telephone#:
Fax#:

Rotor Information

Mfg.:
HorsePower:
Frame:
# of Bars:
Bar Material:
Bar Conductivity:
Voltage:
Enclosure:
Design:
Application:
Ring Material:
Ring Conductivity:
Slots Are Skewed:    Yes      No