Complete information below to assure Hi Roller will be able to provide you with an accurate proposal. Use the questionnare below when requesting specifications and pricing. Your company name, contact name, phone number and email address are required to send this request.

*Required Information

Company Name*:
Contact Name*:
Title:
Postal Address:
Shipping Address:
City:
State/Province:
Postal Code:
Country:
Phone*:
Fax:
E-mail*:

Please send me product literature including CD-R video of products.
Yes No
Please contact me about an application.
Yes No

Product, Capacity, and Usage:
1. What is the product to be conveyed?
2. What is the density of the product?
3. What is the particle size?
4. What special characteristics of the product? (i.e. heat, moisture, abrasive,
light & fluffy, explosive, corrosive, hygroscopic, aerates becoming fluid, packs
under pressure, sticky, etc.)
5. What is the capacity required per hour?
6. What is the usage/hours per day/days per year?
Physical Requirements:
1. Length (centerline to dicharge).
2. Incline in degrees or rise in feet.
3. Number of inlets.
4. Number of discharges?
5. Intermediate tripper or 2-way discharge?
6. Single direction conveyor or reversing?
7. Height restrictions?
8. Width restrictions?
9. Clearance restrictions at tail end of conveyor?
10. Clearance restrictions at head end of conveyor?
Motor and Drive Requirements:
1. TEFC or Explosion Proof?
2. Voltage?
3. Hertz?
Other Aids for Proposals:
1. Drawing or hand sketch.(please mail)
2. If conveying a unique product, what has worked in the past?
What hasn't?
Prior conveyor experience/concerns/comments:
 

 
 
 
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