You are:End userDistributorIntegrator originalEquipment manufacturer

Your name*

Your email address*

Phone number*

Zip code*

Company name*

Type of conveyor*

What is being moved?*

Height from floor to top of belt or rollers? (inches)*

Does the product have:

Is the bottom:

How are bottom runners positioned relative to direction of travel?:

Maximum size of product (LxWxH)*

Minimum size of product (LxWxH)

Maximum weight of 1 product (lbs)

Minimum weight of 1 product (lbs)

Maximum # of products on conveyor at one time?*

Needed length of conveyor (feet)" *

Needed speed of conveyor (FPM)*

Conveyor speed will be:

Conveyor voltage

# of hours conveyor runs/day*

Is reverse needed (run in 2 directions?)*

How is product loaded?

How is product unloaded?

Electric phase

Brief description of steps or sequence of work done with/on conveyor

Other requirements for conveyor system