Quote Form 106

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

Common Applications: P&H, Komatsu, Joy Global, Wound Rotor Motors, Draglines, Mining, Crane Machines

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

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Mounting Post Diameter

Center Post to Post

Brush Box Length

Slip Ring Diameter

Center Line Post To Ring Surface

Slip Ring Width

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 106

Double 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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