Quote Form 101

Two Post – Bank of Two (Two Pocket Carbon Brush Holder)

Common Applications: Allis Chalmers, Slip Rings, Power Generation (Hydro, Fossil Fuel, Nuclear), Synchronous Motors

Please fill out as completely as possible

Name(Required)

First Last

Company(Required)

Account Number

Email(Required)

Phone(Required)

Street Address

Address Line 2

Address(Required)

City * State / Province / Region * ZIP / Postal Code * Country *

Manufacturer

Power

Power Type

Applications

Primary Volts

Primary Amps

RPM

Sec/Exc Volts

Sec/Exc Amps

Type

Model

Frame

Brushes/Set

Brush grade/markings

Brush Part #

Holder Part #

HQD/Wear Device

HQD

Wear Device

Units

mm

inches

Reference the image below for assistance with the following fields

Brush Box Thickness

Overall Width

Brush Box Width

Reference the image below for assistance with the following fields

Mounting Post Diameter

Brush Box Length

Slip Ring Diameter

Center Post to Post

Center Line Post to Ring Surface

Photo/Document Upload

Maximum 3 Files

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 256 MB, Max. files: 3.

Would you like us to quote brushes as well?

Yes

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Quote Form 101

Two Post – Bank of Two (Two Pocket Carbon Brush Holder)

Reference the image below for assistance with the following fields

Reference the image below for assistance with the following fields

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