Single Bearing Through Shaft Idler QUOTATION REQUEST FORM Overall

Single Bearing Through Shaft Idler QUOTATION REQUEST FORM Overall Length (________) Face Length (________) Shaft Diameter (________) Idler Diameter (________) Tap Size(________) Header Available Idler Diameter 3.25 4.25 5.25 6.25 7.75 Available tube and bearing sizes can be found at www.componex.net/winertiaTW.html Company Name__________________________________________________________ Contact_________________________________________________________________ Address________________________________________________________________ City________________________________________State________Zip_____________ Phone______________________________________Fax_________________________ E-Mail_________________________________________________________________ Intended Use: (choose one) OEM End User FAX TO: Darcy Perona PRINT Please print this document for your records before proceeding. 608-884-2363 WE SPECIALIZE IN SUBMIT QUOTE