Advanced Industrial Devices, Inc.

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»	Gear Reducer Inquiry Form



	Type of gear reducer desired:
	Right Angle Worm
	In-line Helical
	Right Angle Helical-bevel
	Shaft-Mount (Torque Arm)

	What kind of equipment for "Equipment shaft horsepower requirement":



	What kind of equipment is this reducer driving:


	How many hours per day will the reducer be operating:
	8-10 hours per day
	More than 10 hours per day

	How may times per hour will the reducer start:


	What is the ambient temperature where the reducer will be located (in degrees F):
	86 – 104 deg
	104 – 122 deg
	122 – 140 deg
	above 140 deg

	How is the gear reducer driven:
	Direct coupled to an electric motor
	Direct coupled to an engine
	Direct coupled to a hydraulic or pneumatic motor
	V-belt drive
	Other:

	If direct coupled to an electric motor, do you want to flange mount the motor to the gear reducer?


	Elevation if greater than 3300 Feet:


	If this is a large motor application, how many times per hour does the motor start:


	Company :


	Name :


	Address1 :


	Address2 :


	City :


	State :


	Zipcode :


	Phone :


	Fax :


	Email :

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