Technical questionnaire For Belt coilers &
   De coilers		 Please fill out this questionnaire as completely as possible
so that we can produce a specific quotation.

Please tick any applicable items or add more details!
   Enquiry from company:
   Name:       

   Address:  

Date:       

Tele No:  

Fax No:   


Project :       

Consultant:   
  Contact Person :
  Mr / Mrs : 		 
  Belt Winder Required for :
  Textile Conveyor Belt :   Steel Cord Conveyor Belt :
  Belt Specification :
  Max.Belt Width (mm)                             :
  Belt Rating    :
  Max. Belt Length (Mtrs.)    :
  Max. Roll diameter (Mtrs.)    :
  Max. Total Belt Thickness (mm)    :
  Max. Belt Weight (Kg/Mtr.)    :
  Max. Total Belt Weight (Kg's.)  a)  Net Weight

 a) Gross Weight		  :

 :
  Max. Pulling Forcing required    :

  Location of Winder:
  Outdoor exposed to weather :   Outdoor protected from Rain and Sun    :
  Exposed to Dust/Fumes         :   Indoor                                                       :
  Type of Mounting:
  Textile Conveyor Belt :   Rail Mounted :   Mounted on Foundation :
 


Size of Drum cut –out to be mounted (attached detailed sketch)

Is empty spool required:                              Yes/No :                                       No's:



                                                                                                              


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