Note: * Required Fields
Customer Information
* Contact Name :
* Phone (10 digit min.) :
* Email Address :
Address :
State :
 
Job Title(s) :
Fax :
Company Name :
City :
Zip :
Project Information
* Describe Application in Detail (include make, model & year if possible):
* Quantity of Motors Per Year :
* Photo Attachment Required
Send Vehicle Photo ( .jpg, .gif, .tif, .png) :
* (If you don't have a picture of the exact vehicle, just do a Google search & attach something similar)
Comments :
Mechanical Design
* Motor Shaft Type Needed (choose option below for examples):
Straight Output Shaft
Splined Output Shaft
Other
* Differential/Transmission or Belt/Chain Gear Ratio: (Ex. 12:1)
* Pump Manufacturer:
* Pump Model Number:
* Pump Displacement:
Pump SAE Standard:
Comments :
Current Motor
* Does you project currently have a motor? (choose option below):
Yes
No
Performance Requirements
H.P. :
Desired Speed: RPM
Minimum Speed: RPM
Maximum Speed: RPM
No Load Torque:
Full Load Torque:
Comments :
Electrical Requirements
Max Amps :
* System Voltage:
* Battery (Pack)Type: (Ex. Lead Acid-Flooded, Qty: 12 x 8 volts, US Battery)
* Total Battery Pack Amp hours : (Ex. 183 Amp. Hr.)
Duty Cycle Requirements : (Ex. 10% ON, 50% ON, Continuous)
Comments :