Brake Application Form
Thank you for your interest in Saldet Sales & Service.  If you have an inquiry about one of our products, or are looking for some general information, please fill out the following form and a representative will contact you shortly with a reply.

Customer Information:
Name: Telephone:
Company: Fax:
Street Address: Email:
   
City: State:  Zip:

Application Information:
Application is:
Current Product Requirement
For Budgetary Purposes
New Product Requirement		 Program Name:
Describe Application:
Other Information/Comments:

Motor Specifications:
Voltage:   Phase:   Horsepower:
Current: amps Max. Speed: rpm Load:
NEMA Configuration:
 
Starter Contractor?  Y N     Starter Coil Voltage: VAC
Drive Coupling: 
Direct Gearbox Belt Clutch  Other
Flywheel (circular blade) Diameter Approx. Wt. (lbs.)
 
Freewheel stop time: Required stop time: Frequency Drive?
Y N

  

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