Request Form:
Company Information:

Company Name: Address:
Contact Name: City:
Phone: State:
Email: Zip:
Fax: Country:

Model Specific Questions:

Outside Radius
Inside Radius
Belt Centerline Radius
Frame Height
Bed Width
MAX H/360°
Quantity Required
Product to be conveyed
Product Size (LxWxH)
Product Weight
Degree of Turn
Direction of flow (CW CCW or Both)
Required Speed, FPM
Discharge height (T.O.B.)
Infeed height (T.O.B.)
Support (center column, leg, ceiling, other)
Drive furnished by (Jantec/other)
Comments