Contact
Information (* indicates
required information): |
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Company*: |
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Address: |
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City: |
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State: |
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Zip Code: |
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Country: |
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Phone*:
Include area code or country
code |
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Attention*:
Your name or contact |
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Title: |
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E-mail*: |
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Preferred Method of Contact: |
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You will find it easier to complete this on-line form
by first downloading the appropriate worksheet in
pdf format, reviewing the information required and
using it for reference when completing the information
requested below. If needed, click here to download
the necessary worksheet.
External Coil Worksheet
Inverted Coil Worksheet
Inverted
Coil with Aluminum Holder Worksheet
Inverted Coil with Machined Retaining Ring Worksheet |
Arc
Type (External, Inverted, Inverted with Aluminum
Holder):
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Channel
Material (Galvanized, T-304S/S, T-316L S/S):
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Channel
Size (A, B, C, D, F, G or K):
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Filament
Material:
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Filament
Diameter:
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Level
or Crimped:
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Degrees
of Arc:
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Outside
Radius:
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Inside
Radius:
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| Most
Critical Dimension (IR or OD): |
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For
Inverted Arc with Aluminum Holder (additional
information)
Note: See Brush
Holder page for available holders) |
Aluminum Holder (180° - straight, 90°
- right angle):
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Outside
Radius of Holder:
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Inside
Radius of Brush:
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| Hole
Diameter: |
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Hole
Location:
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| Quantity
Required: |
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| Annual
Usage: |
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