Request Timing Screw Quote / Submit Purchase Order

Please fill out the form below and you will be contacted by one of our representatives.

*Denotes required field

Request for Quotation – OR – This is Purchase Order No.
Required Delivery Date: Day Mon Tue Wed Thu Fri Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006 2007 2008 2009 2010 Today's Date:
* Name: Title:
* Company: * Phone: Fax:
Email Address:
Address: City:
State: Select one... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip Code:

Machine Information

*Manufacturer: Type:

Model: Part No. Line No.

Container Information
Speed Container will run: Ltg/Amt of Cont. Backlog:
Container Axis Dia.: Height:
Container Shape: Select One... Oval Round Square Rectangle Other (Please Specify)
Capacity:	(Send two samples if other than round.)
Temperature if filled: °	Containers running: Empty or Full

Timing Screw Specifications
* Length:	* Outside Diameter:
Root Diameter:	Discharge Pitch:
Shaft Diameter:	* Morrison to furnish shaft: Yes No
Infeed Plastic Hub Length:	Discharge Plastic Hub Length:
Centerline Height of Screw to Conveyor:	Inverse Taper: Yes No
Adjustable: Yes No	Taper Length:
Notes:	* Desired Material: Linen Base UHMW Polyethylene (Hyfax-1900) Delrin Nylon Other Nylatron

NOTE: Check Direction Desired
RIGHT HAND ROTATION/THREAD	LEFT HAND ROTATION/THREAD