CUSTOMER

APPLICATION INFORMATION

1. Type of Driven Machine:
   Type of Loading:

   UniformIntermittentShock Load
   Duty Cycle:
   Start-up Load:

   LightHeavySoft Start
   Start-up Frequency:
   Ambient Operating Conditions:
2. Prime Mover:
3. Gearbox Style:

   Parallel:

   Right Angle:

   Inline:

   Planetary:
4. Gearbox Requirements:

   Input HP:

   Input Speed:

   Max. Torque at Input Speed:

   Reversible:

   Center Distance:

   Ratio(s) Desired:
5. Method of Connecting Prime Mover to Gearbox:

   SAE HousingFlywheelC-FaceIntegralCouplingBelt

   Other:
6. Method of Connecting Gearbox to Driven Equipment:

   Coupling (Type & Size):

   Chain (Type, Size, Etc.):

   Other (Radial Load, Axial Load, Etc.):
7. Rotation into and out of
   Gearbox (Looking at Input):

   Choose style 1 to 8 or Other

   Style1Style2Style3Style4Style5Style6Style7Style8

   other:



8. Space limitations:
9. Additional Information:
10. Approved By: