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CUSTOM/SPECIAL MADE REQUEST FORM
 

By applying on this form you are requesting Non-Standard type bearing for your new design or project

to prepare for production, and the requirements for our factory is min. of 3000/pcs. to begin.

Please complete all fields.
 * - Required Fields
  APPLIES
   
Name:*   Title:       Date:
Company:*   Telephone:*   
Address:
City: State: Zip:
Email:*
Confirm Email:*
  INFORMATION
   
Experimental Prototype Production Repair
If current application, what bearings are now being used?
Manufacturer:   Mfg's, Part No.  
Your Company's Part No.:   (optional)
Current Cost:  
Annual Usage Qty:   Requested Quantity:   (optional)
  LOADS
   
Application Loads RPM Percent of Time
Axial Radial Moment Max. Min.
1
2
3
4
Continuous Intermittent Oscillating One Direction Both Directions
Vibration/Shock?   Describe:  
LIFE  

TEMPERATURE
Hours: (Min.)        Normal Operating:   ºF  
Hours: (Avg.)        Minimum:   ºF 
Other       Maximum:    ºF
LUBRICATION
Proposed Lubricant:             Percent Fill:  
  BEARING
 
Preferred Size: Preferred Type:
Bore   Ground
Min. Bore   Ungrounded: Separator
Outside Dia.   Full Compliment
Max. Outside Dia.   Bushing/Plan Bearing
Width  
Max. Width  
Bearing Axis in (Vertical), (Horizontal) position with (outer), (inner) race rotation relative to load.
  SPECIAL REQUIREMENTS
 
Materials:
Enclosures:

Describe such as Rubber, Teflon Seals or Metal Shields on each sides
ABEC Grade or : Precision Accuracy "P" Suffix cod number
Internal Fit: Clearance "C" Suffix cod number
Other:
            * - Required Fields

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