M.G.M. » Sales Request Form

Brand of Motor*

Part Number*

Frame Size*

Mounting

HP Rating(s)*

KW Rating(s)*

Speed

Poles

Voltage Rating

Cycles on Nameplate

Phase on Nameplate

Voltage Motor Runs at

Cycles Motor Runs at

Inverter Duty

Inverter Range in Hz*

Inverter Range in RPM*

BRAKE SPECIFICATION

Brake

Brake Voltage

Brake Torque*

Special notes regarding this request (please indicate quantities" " special modification required" " deliveries needed" " etc.)

CONTACT DETAILS

Company Name*

Contact Name*

Address*

City*

Province/State*

Country*

Postal Code/ZIP*

E-mail*

Telephone*

Fax

Type of Business

Nature of Business*

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