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Motors Quotation Request Form
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*Name Position
*Company *Address
*City *State/Province *Zip    *Country 
*Phone Fax *E-Mail

Choose either 1 or 2
Basic AC/DC Motors Advanced

AC Motor DC Motor Performance Specifications:
AC Voltage & Frequency:
No Preference
115 / 120V 60Hz
208-230 / 240V 60Hz
460 / 480V 60Hz
575 / 600V 60Hz
50Hz / International Power
 Other

Phase:
No_Preference
Single-phase
Three-phase
Terminal Voltage, VDC:
at least no more than
Continuous Current, amps:
at least no more than
Motor Construction:
Permanent Magnet
Shunt Wound
Series Wound
Disc Armature
Coreless / Slotless
Other
Commutation:
No_Preference
Brush
Brushless
Shaft Speed:at least no more than
Continuous Output Power:at least no more than
Continuous Torque:at least no more than
Motor Type:
No Preference
Induction
Synchronous
Servomotor
Universal
 Other
Multi-speed?
Reversible?
Feedback: No Preference
Integral Encoder
Integral Tachometer

Integral Resolver
Other
Gearmotor / Gearhead Options:
Motor Configuration:
No_Preference
Motor Only
Gearmotor
Gearing (if applicable):      
No Preference
Spur
Planetary
Harmonic

Worm
Bevel
Other
Gearbox Ratio: at least no more than

Gearbox Efficiency: at least no more than
 :1

 %


Shaft Options:Housing / Enclosure: Features & Options:
Orientation / Type:
No Preference
In-line
Offset / Parallel
Right Angle
Hollow
Other

Number of Shafts:
No Preference
Single-ended
Double-ended
Design Units:
No Preference
English
Metric
Motor Shape:
No Preference
Cylindrical Body
Square Body
Enclosure Options:
No Preference
Open Frame / Frameless
Drip-proof
Dust-proof
Totally Enclosed

Special / Extreme Environments:
No Preference
Clean Room Use
Cryogenic Use
Explosion-proof
Radiation-hardened
Vacuum Use
Integral Driver Electronics? 
Integral Brake? 
Integral Clutch? 
Brake / Clutch Combo? 

Environment:
Operating Temperature:
from to
Shock Rating:
at least 
Vibration Rating:
at least 

Comments/additional specification:
Diameter / Width:
at least no more than  

Housing Length:
at least no more than  

NEMA Frame Size:
at least no more than