Roller RFQ

Fill out the RFQ form below to start the quoting process. Alternatively, you may download a PDF version here. Please email the completed form or any questions regarding the form to conveyorsales@lewcoinc.com.

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INTRODUCTION

Company Name:

Who Are You?

Contact Name:

Is your company an existing LEWCO customer?

Yes

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:

Email Address:

Project Reference:

Project Order Time Frame:

Quote Due Date:

Pricing Requirement:

Budget

Firm

CONVEYOR DESIGN & CONSTRUCTION

Quantity:

Roller Size:

Type of Roller:

Bearing Type 0:

Bearing Type 1:

Bearing Type 2:

Bearing Type 3:

Bearing Type 4:

Bearing Type 5:

Bearing Type 6:

Bearing Type 7:

Bearing Type 8:

Bearing Type 9:

Bearing Type 10:

Roller Surface:

Roller Covering:

Surface of Roller:

Roller Surface Material:

Roller Surface 4:

Roller Surface 5:

Roller Surface 6:

Between Frames:

Between Frames Measurement:

Between Frames (Inches):

Measurement Between Frames:

Between Frame Width:

Dimension Between Frames:

Between Frames in Inches:

Axle Retention:

Axle Connection:

Chain Size:

Sprocket Teeth:

Other Chain Size:

Other Sprocket Teeth:

ADDITIONAL INFORMATION

Additional details:

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Roller RFQ

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