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Inquiry form for Purchasing

Inquiry Form

Please send us your inquiry by E-mail to if you can not send below inquiry from this website.
If you have any attached file to be send to us, please resend it as the attached file with the mail which is returned to you from us after sending this inquiry.

*Please be sure to fill in items marked *

Name*
 
First Name

Please fill in First Name
Last Name

Please fill in Last Name
E-mail*
Please fill in E-mail
Company*
Please fill in Company
Department and Section *   Title
Please fill in Department and Section
Address
Street/Road
Town,City*
State/Province*
Zip/Postal Code*
Country*

Please fill in Address
Phone*
Please fill in Phone
Fax

*Please fill in items as much as you can in detail.

Request Model Series :  Number :
Name of Device (Applications)
Sealing Conditions Vacuum,        Max. Pa  -  Usual Pa
Pressure,      Pressure Difference kPa
Dust Proof
Environment Inert Gas or Atmosphere  
Activated Gas (Type of Gas: )
Shaft/Rotation Diametermm
Rotation    Rotation speed rpm
Oscillation   
Oscillation Angle Degrees/Timesec  -  Oscillation Cycle cycle/sec
Transmission Torque N - m
Attached Direction Vertically (Vacuum side : Upper  -  Lower)  -    Horizontally
Temperature
*Please fill in values based on the below chart
Environmental Temperature Max (a) °C   Usual (b) °C
Temperature at the Attached wall Max (c) °C   Usual (d °C
Load
*Please fill in values based on the below chart
Radial Load (e) N    (f) mm   
(g) N    (h) mm
Axial Load (i) N
( j) mm  (k) mm

Water Cooling Facilities Available     Not Available
Special Instruction

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