Name:
Organization:
Title:
Address:
City:	State:  Zip:
Phone:
Fax:
Email:

General shape of minimum size tramp iron (choose one):

Hex nut  Cube:  Rod:  Plate:  Sphere:

Suspension height:	inches

Type of unit desired (choose one):

rectangular only

inline automatic

cross belt automatic

Mounting position (choose one):

inclined over head pulley

parallel over belt

Please enter any comments or questions below: