Gearbox Application Form

AA5210 - Required motor data to mount to gearboxes AA5210 - Required motor data to mount to gearboxes

User Manual: Gearbox Application Form

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Gearbox Application Sheet
Please return via fax or email: (714) 992-0471, applications@anaheimautomation.com

Name:

E-Mail:

Company:

Phone:

Address:

Fax:

City:

State:

Zip:

Current Quantity Requirements:
Estimated Annual Requirements:

Motor Specifications:
Units:  mm

 in

Bolt Circle Diameter (D1):
Shaft Diameter (D2):
Pilot Diameter (D3):
Hole Diameter (D4):
Pilot Thickness (L1):
Shaft Length (L2):

Gearbox Specifications:
Gearbox Part Number:
(Please provide an Anaheim Automation Gearbox Part Number if Available)

Please provide any additional information below:

Print Form

910 E Orangefair Lane, Anaheim, Ca 92801-1195
E-mail: applications@anaheimautomation.com
L011124

Submit by Email

(714) 992-6990 Fax: (714) 992-0471
www.AnaheimAutomation.com
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