Fans and Motors
Request Form

Company Name
First Name
Last Name
Address 1
Address 2
City
State Zip
Country
E-Mail Address
Telephone
Fax Number

-Please Enter Desired Specs Below-

H.P.  
Volts:  
Torque @ RPM
Starting Torque:
Start Torque Amps:
HZ
RPM
CFM
SP
Continuous:
Intermittant:
Thermal Protection
Temperature Class
Ambient Temp
Rotation at lead end
O.D.
Height:
Length:
Mounting:
Leads/Connector:
Quantity required for Prototype Prototype Timing
Quantity reqired for Production Production Timing