Company

Name

Address

Position

City, State, Zip

email

Phone

Fax

1. Working Length

4. Shock Factors

Shaft misalignment

Deflection ∠

per joint

5. Gear ratios

Required length

compensation (slip)

6. Dimension of connections

H.P. @ max RPM

Flange Ø

H.P. @ min RPM

Hole Ø

2. Type of motor

Electric AC DC

Gas Diesel

HP # cylinder

Bolt circle Ø

Number of holes

Pilot Ø

Pinion Ø

Max.

Working Torque

Kind and

description of the installation