Sales and Service Australia-wide Telephone: 13 000 DRIVE Form No: SDT270307-01 Company Name Date Enquiry No. Contact Telephone Facsimile PLEASE FAX THIS ENQUIRY TO YOUR NEAREST SUMITOMO DRIVE TECHNOLOGIES BRANCH. NSW & ACT F: 02 8811 6500 [email protected] VIC, SA & TAS F: 03 9587 5852 [email protected] QLD & NT F: 07 3277 8772 [email protected] WA F: 08 9249 4974 [email protected] *Application e.g. conveyor If replacing existing gearbox Brand Serial No. If existing, why is gearbox being replaced? Sumitomo Unit (if known) □ HSM Helical Shaft Mount □ Cyclo □ HBB Helical Buddy Box □ BBB Bevel Buddy Box □ Hyponic □ Paramax 9000 □ Other please specify * Motor Power kW * Motor Speed RPM * Motor Shaft Diameter mm Absorbed Power (if known) kW * Final Output Speed RPM Ratio Output Torque Required Nm * Output Shaft Diameter mm Ambient Temperature °C Service Factor * Is Backstop Required? □ Yes □ No Hours of Operation Per Day □ Continuous □ Intermittent Reversing? □ Yes □ No Load □ Uniform □ Moderate □ Heavy Environment □ Dusty □ Washdown □ Humid □ Indoors □ Outdoors Sealing □ STD □ Labyrinth □ Other please specify Motor Connection □ Direct □ Coupled □ Belt Driven □ Motor Mount □ Guard Lubrication □ Oil □ Grease □ Other please specify Type of Mounting □ Foot Mount □ Flange Mount □ Shaft Mount □ Base Plate * Mandatory information for basic selection. Section A - Customer Details Section B- Selection Data - Please tick relevant box and complete information in space provided. Section C - Additional information or sketch of application Company Name Branch Contact Telephone Facsimile Section D - Enquiry Originator GEARBOX ENQUIRY FORM

rSTATEWIDE BEARINGS BRANCH - Yellowpages.com...Hyponic Paramax 9000 Other please specify * Motor Power kW * Motor Speed RPM * Motor Shaft Diameter mm Absorbed Power (if known) kW *

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Page 1: rSTATEWIDE BEARINGS BRANCH - Yellowpages.com...Hyponic Paramax 9000 Other please specify * Motor Power kW * Motor Speed RPM * Motor Shaft Diameter mm Absorbed Power (if known) kW *

Sales and Service Australia-wide Telephone: 13 000 DRIVEForm

No:

SDT

2703

07-0

Company Name Date Enquiry No.

Contact Telephone Facsimile

PLEASE FAX THIS ENQUIRY TO YOUR NEAREST SUMITOMO DRIVE TECHNOLOGIES BRANCH.NSW & ACT F:0288116500 [email protected], SA & TAS F:0395875852 [email protected] & NT F:0732778772 [email protected] F:0892494974 [email protected]

*Application e.g. conveyor

If replacing existing gearbox Brand Serial No.

If existing, why is gearbox being replaced?

Sumitomo Unit (if known) □ HSM Helical Shaft Mount □ Cyclo □ HBB Helical Buddy Box □ BBB Bevel Buddy Box

□ Hyponic □ Paramax 9000 □ Other please specify

* Motor Power kW * Motor Speed RPM * Motor Shaft Diameter mm

Absorbed Power (if known) kW * Final Output Speed RPM Ratio

Output Torque Required Nm * Output Shaft Diameter mm Ambient Temperature °C

Service Factor * Is Backstop Required? □ Yes □ No

Hours of Operation Per Day □ Continuous □ Intermittent Reversing? □ Yes □ No

Load □ Uniform □ Moderate □ Heavy

Environment □ Dusty □ Washdown □ Humid □ Indoors □ Outdoors