Expanding Chuck Quote Request Form from Daven Manufacturing

Contact Information

Name *

Company *

Address

City

State/Province

Zip/Postal

Country

Email Address *

Phone Number *

Fax Number

New Application - Replacing Existing Expanding Chuck?

New Application? *

Yes

No

Replace Existing Expanding Chuck? *

Yes

No

If yes, Model #

If yes, Manufacturer

Application and Specifications

Please fill in as much information as possible for our engineers to review prior to contacting you to discuss your requirements.

1. Core Size

2. Core Material

Fiber

Plastic

Steel

Other

3. Max. Web Width

4. Total Weight of Material

5. Diameter or Square of the Supported Shaft

6. Web Material

7. Pneumatic Chuck

Yes

No

8. Mechanical Chuck

Yes

No

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