Timer/Motor Specifier Form

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    Title  
Company
Address     City    
Address 2     State   Zip
Telephone     Email  
         
To help us assist you, please indicate your application:  
 
         
Please indicate your operating parameters, if known:  
TIMERS        
Timing
 Ambient Temperature
  

Maximum Switch Loads   Setting Method
Special Sequences
Voltage/Frequency
   Life Requirements
    
         
MOTORS        
Speed (RPM)   Rotation (CW or CCW)   Torque Requirement
Voltage/Frequency   Life Requirements    
         
Output Configuration (Choose Pinion or Shaft)      
Pinion        
No. of teeth        
Diametral pitch        
Pitch Angle        
Outer Diameter        
         
Shaft        
Length
        
Outer Diameter        
Other (Please Describe)
      
Flat required?
Yes No		        
Motor Lead Length
        
Type of Lead Termination
        
       
       
Volume and Schedule Requirements    
What is your expected annual usage?      
   
What is your expected time frame?