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Mach III Clutch Inc.
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Submit Application

Brake Application Form

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Contact Information

* Contact Name:
* Company:
Address 1:
Address 2:
City:
State: Zip/Postal Code:
* Phone:
Fax:
* Email:
 
* Required Fields

Please provide as much information as possible. We will be happy to assist you with questions: 859-291-0849

Specifications

1. Brake is needed for:

New Machinery
Retrofit - to replace (Mfg., Model, Etc):

* 2. Brake Mounting:

Flange Mount
        Shaft Size (specify inches / mm):
        Keyway (specify inches / mm):
Thru-Shaft (with reaction/torque arm)
        Shaft Size (specify inches / mm):
        Keyway (specify inches / mm):
Nema Frame (C-Face)
        Frame Size:

* 3. Brake Actuation Required:

Air Set (Brake is engaged when air is applied)
Spring Set (brake is engeaged when air is exhausted)

* 4. Brake Function:

Stopping
        Stop Time (seconds):
        Inertia Stopped (specify lb.ft2 / kg.m2):
Holding
        Required Torque (specify lb.in / lb.ft / Nm):

5. Input Source:

Electric Motor
Gas Engine
Diesel Engine

HP: RPM:

* 6. RPM at Brake:

* 7. Cycle Rate (X per Minute):

8. Operating Air Pressure Restrictions (if any):
        Minimum (PSI): Maximum (PSI):

9. Envelope Restrictions (if any):
        Maximum Length (specify inches / mm):
        Maximum OD (specify inches / mm):

Additional Information
Please include any special requirements, environmental conditions, etc.

Mach III Clutch Inc.
Mach III Designed For Excellence