Quote Request

Please Provide the Following Information


Add to E-Mail list?  
Yes
First/Last Name  
Position  
Company Name  
Company Address  
City, State, Zip  
Project Site  
Work Phone/Mobile/Fax
Mobile  
Fax  
E-Mail  
Website  
  
Planned Outage Date  
Quote Request #  
Bearing #  
Manufacturer  
Bearing Application  
PumpMotorTurbGen  Other  
Bearing Bore I.D.  
  "+/-  ConcentricElliptical
Bearing O.D. Size  
Bearing O.D. Seat  
Straight or Spherical  
Bearing Shell Length  
Babbitt Length  
Babbitt Wall Thickness  
Babbitt Grade  
Shell Backing  
BronzeSteelCast Iron  Other  
Bearing Type  
ThrustRadial/LinePillow Block
# of Thrust Faces  
Thrust Length  
  "+/-  
Sleeve  
SolidSplit
Split Lines  
FlatStepped
Oil Slingers  
yesNo  # Slots  
Oil Grooving  
Circle    X    V  
Bearing has Oil Wedges  
YesNo
Bearing Shell is Water Cooled    
YesNo
Inspection Requirements  
UltrasonicDye PenetrantsVisual
  Other Information,  
Questions or  
Comments  
 To print a copy of this form, use the Browser PRINTER button.  
Image Validation:
Please enter the characters
in the image to the right.
All letters are lowercase. 		Image Validation
Characters: