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Application Data Sheet
Request Quote
Request a Quote
Mr.
Mrs.
Ms.
Dr.
NAME:
TITLE:
COMPANY:
STREET:
CITY:
STATE:
COUNTRY:
ZIP:
PHONE:
FAX:
E-MAIL:
To better process your inquiry all of the above fields must be filled-in.
*
1. Application Requires:
Push or Pull Control
Remote Actuation System
Other
*
2.
My application is :
*
3.
Initial production shipment required:
*
4.
Estimated annual volume:
*
5.
Will prototypes and samples be required?
YES
NO
*
6.
Normal working load, in pounds:
Pulling:
Pushing:
*
7. The system's total movement or travel:
8. Is cable under constant tension?
YES
NO
Value:
9. Is cable stretch a major factor?
YES
NO
Explain
10. Total degrees from all bends in cable control routing:
11. Minimum bend radius required:
12. Frequency of daily use & definition of cycle:
13. Desired cycle life for assembly/control:
*
14.
Can standard CMA components be used?
YES
NO
(If application requires special components, please send a detailed sketch via fax to 330-874-2373.)
15. Environment in which assembly or control cable will be exposed:
16. Minimum & maximum operating temperature:
17. Will corrosion resistance be a factor?
YES
NO
Explain
18. How did you learn of CMA?
19. What is your company's end product?
20. What markets do you serve?
*
21.
Drawing must be provided to receive a quote. You may submit your drawing via this form, or you may fax it to us at 330-874-2373. If faxing, please include a printed copy of the completed request form with your fax.
A drawing is attached:
I will fax the drawing.
CMA REMOTE ACTUATION
SYSTEM SPECIFICATIONS:
A:
B:
C:
D:
E:
Please check Bloc-O-Lift® valve pin type:
Indicate PI force (output) of locking gas spring:
22. Comments:
For information call toll-free:
Tel. 800-586-8404 or Fax 800-586-8405