Roller Quote Request Form

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Please take a moment and provide us with the most accurate information possible. We will then process this information and provide with a price quote within two business days!

ROLLER INFORMATION

 
 Roller Type: 
Select One
Chain Driven Roller (Lift Out Style)
Chain Driven Roller (Spring Loaded Style)
Dimpled Roller (Lift Out Style)
Dimpled Roller (Spring Loaded Style)
Lift-Out Roller
Pin Retained Roller
Spring Loaded Roller
Tapered Roller (Lift Out Style)
Tapered Roller (Spring Loaded Style)
Tapered Dimpled Roller (Lift Out Style)
Tapered Dimpled Roller (Spring Loaded Style)
Other

 Roller Application: 
  Between Frame: inches
 Bearing Type: 
Select One
Greased
Oiled
Regreasable
Other

Bearing-to-Bearing Length: inches
 Tube Wall Thickness: 
Select One
7 Gauge = .188 inch
10 Gauge = .145 inch
11 Gauge = .120 inch
14 Gauge = .083 inch
15 Gauge = .072 inch
16 Gauge = .065 inch
18 Gauge = .049 inch
Other

 Tube Diameter: inches
 Tube Length: inches
 Tube Finish: 
Select One
Plain Steel
Galvanized
Zinc Plated (bright zinc)
Zinc Plated (gold)
High Stability (hot rolled and pickled)
High Stability (black)
Other

 Axle Type: 
Select One
Hex
Round
Other

 Axle Size: inches
 Shaft Length: inches
 Quantity Requested: 
 Other considerations: 

CONTACT INFORMATION:

This information must be completely filled out so that we can respond to your request.
Failure to provide this information will result in no response from us.

 
 Name: 
 Title: 
 Company Name: 
Company Street Address: 
 City: 
 State: 
 Zip: 
 Phone: 
 Fax: 
 Email address: 

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