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Straight Evaluation Form (Imperial)

Straight Evaluation Form (Imperial)

This form helps you to create the optimal design for your conveying needs.

By submitting the evaluation form, Intralox will do a free analysis of your design. An Intralox Technical Support representative will contact you to discuss your design and recommend the best belt for the intended purpose.

The fields indicated with an asterisk (*) are required.

Personal Info
--
Country code + Area code + Phone number
Belt & Sprocket Information
Examples include: Flat Top, Flush Grid, Raised Rib, etc.
Examples include: Polyethylene, Polypropylene, Acetal, etc.
in
ft
in
in
in
in
in
in
Product Information
in in in
Width X Length X Height
in
˚F
Application Data
fpm
˚F
%
ft
Sanitation
%
˚F
Additional Comments
List problems or concerns with belt or system
*Attachment must be ".pdf",".doc",".docx",".jpg" or ".xls" and less than 3mb