Quote Form 112

Adjustable Slip Ring Brush Holder

Common Applications: Allis Chalmers, GE, Westinghouse, Wound Rotor Motor, 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

Brush Box Width

Overall Width

Reference the image below for assistance with the following fields

Brush Box Length

Ring Diameter

Centerline Post To Ring Surface

Mounting Post Diameter

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 112

Adjustable Slip Ring 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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