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Background Information
Company
Name_____________________________________________________________
Contact
Name_______________________________________________________________
Phone_______________________________ Fax_________________________________
Street Address
1____________________________________________________
Street Address
2____________________________________________________
City: ________________________
State____________________ Zip Code_____________
E-Mail______________________________________
Gear Data
Gear Type:
Spur__ Helical__ Other__________________________
Quantity____________ Date
required________________________
Number of Teeth______ Pitch:
DP_______CP______Mod________
Pressure Angle______ degrees
Material_____________________
HT________________________
Outside Diameter______inches______MM
Pitch Diameter______inches_______MM
Face Length_____inches______MM
Length thru Bore_____inches______MM
Bore_______inches______MM
Counter Bore______inches_______MM
Hub Diameter (1)______inches______MM
Projection______inches______MM
Hub Diameter (2)______inches______MM
Projection______inches______MM
Keyway_______________________________________________________________
Set
Screws____________________________________________________________
AGMA Class_________________________
Notes____________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
USE SPACE BELOW TO PROVIDE A
ROUGH SKETCH OF GEAR CONFIGURATION...
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