Request Info Conveyor Quote Request Form Company: Contact Name Email Phone Number Date: Conveyor Identification/Reference: Conveyor Belt Width: (inches) Conveyor Belt Length: (feet) Design Capacity: (tons/hour) Design Belt Speed: (feet/min)(tbd) Conveyor Lift or Angle of Operation: (degrees or feet) Material Conveyed: Material Density: (lbs/ft3) Material Angle of Repose: (degrees) Special Idler Requirements: (CEMA C, Impacts, Spacing) Describe in Detail Below: Special Belt Requirements: (2 Ply, 3 Ply, Chevron, Other) Special Head or Tail Requirements: (Herringbone, Ceramic, Spiral, Plain) Special Load Zone Requirements: (If other than Standard 4’-0”) Conveyor Type: (Stacker,Channel, Truss or Other) Specify Truss Depth: Gravity Take-Up: YesNo Legs or Supports: Describe: Special Motor Requirements: (if other than 1800 rpm/230/460V/60 Hz/TEFC) (Voltage, Inverter Duty, Explosion Proof) Special Paint Requirements: (if other than Grey Enamel) (Urethane, Epoxy, Different Color)