Custom Bearings Plastic and 316 SS

Application Questionnaire

Name*

Email Address*

Phone

Company*

Street Address*

City*

State*

Zip*

Country

Fax Number

Bearing of Interest

Application

Current Bearings

Size (I.D.)

Size (O.D.)

Size (Width)

Speed

Intermittence

Yes

No

Temperature

Load (Radial)

Load (Axial)

How can we help?*

Preferred Material

Polymer

Stainless

Quantity (Potential)

Quantity (Existing)

Budget Cost

Existing Cost

Are you a reseller or end user?*

Reseller

End-User

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