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General Information

*Name:
*Company:
*Address:
*City: *State: *Zip:
*Phone: Fax:
*Email Address:

Quote Information

1 Do you have any drawings or CAD files?
       
  File:    
         
         
2 Do you have any photos of relevance?
       
  File:    
         
3 Please describe design goals of this application:
  Shock absorption    
  Reduce maintenance    
  Safety    
  Noise    
  Rollability    
         
4 Total number of casters needed for project:
  Rigid:    
  Swivel:    
         
5 Total weight of object including cart
  or load per caster
         
6 Style of caster:
  Kingpin    
  Kingpinless™    
  Maintenance Free    
  Unknown    
         
         
7 Caster Specifications:
  Top Plate Size: Overall Height:
  Bolt Hole Pattern: Swivel Lead:
  Mounting Bolt Diameter: Swivel Radius:
  Single Wheel Caster: Dual Wheel Caster:
         
8 Wheel Specifications:
  Type/Material:    
  Size: Diameter: Width:  
  Bearings: Tapered Roller Bearing:  
    Straight Roller Bearing:  
    Sealed Precision Ball Bearing:  
    Celcon:  
    Plain:  
         
9 Floor/Environment:
  Smooth: Water:
  Rough: Steam:
  Concrete: Heat:
  Tile: Cold:
  Other: Chemicals:
      Other:
         
  Operating Temperature Range:    
         
10 Options
  Swivel Lock: 4 Position:    Other:
  Brakes:      
    Face Contact (CWB,ICWB,etc):  
    Side Wheel Brake (hub style):  
    Side Tread Brake (WBT):  
    Total Lock (available on certain models only):  
         
11 Additional Information: