ENCLOSED-SHAPE BELLOWS | QUOTE REQUEST FORM
Address ____________________________________________
City ____________________________ State/Prov. __________
Country ____________________ Zip/Postal Code __________
Telephone ___________________ Fax ___________________
Email _______________________________________________
Date _______________________________________________________
Company Name ______________________________________
Contact _____________________________________________
Quantity ____________________________________________
New or Replacement Application:
New Design
Replacement
Cylinder rod/ram
Rod with ball bushing
Ball screw
Protection For:
Acme screw
Spline
Rectangular-shaped part
Other (describe or send drawing) ______________________________________________________________________
Cover Orientation:
Horizontal
Construction Preference:
Cover Profile Shape:
Vertical
Dynatect Recommendation
Round
Gortiflex®-Molded
Oval*
Sewn
Vulca-Seal®
Rectangular/Square
Tapered*
Thermiseal
Folded
Other/Custom
| Enclosed-Shape Bellows
1. Application Information
BELLOWS, BOOTS & COVERS
PROTECTIVE COVERS
*Drawing required; PDF or DWG/DXF file preferred.
2. Operation Information
Continuous (ambient) Temperature: __________________
Intermittent Temperature Range:
°F
°C
Min. __________ Max. __________
Frequency of Exposure: ________________________________________
Distance from Heat Source (if applicable)*: ________________________________________
Maximum Travel Speed*: ____________________ Movements/Day ___________________
Acceleration*: _____________________________
Pressure ______________ PSI
Bellows cycles under pressure
Vacuum ______________ PSI
Bellows cycles under pressure
*Please indicate unit of measurement for each value.
3. Environmental Information
Heat Exposure:
Weld Spatter
Abrasion Exposure:
Metal Chips/Swarf
Chemical or Liquid Exposure:
Contaminant Exposure Level:
Miscellaneous:
Hot Chips/Swarf
High Ambient Temperature (specify in “Operation Information”)
Wood Chips/Shavings
Minimal
Occasional
Other ____________________________
Heavy
UV/Ozone
Outdoors
Food-Grade/FDA
Other (specify) __________________________
Regulatory Compliance:
Light Particles/Dust
Water
Moisture
Salt or Sea Spray
Petroleum/Hydrocarbons
Oils (non-petroleum)
Hydraulic Fluid (petroleum-based)
Hydraulic Fluid (phosphate ester-based)
Acid
Coolant
Cutting Fluid
Other (specify) __________________________________________________________________________
Standard _________________________
Laser Beam
Clean Room
Camera/Light-Proof
Bellows must be fire retardant (list standard to the left)
Application Notes: ___________________________________________________________________________________________________
Phone: 262-786-1500 or 800-298-2066 | Fax: 262-786-3280 | Email: [email protected] | www.dynatect.com
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BELLOWS, BOOTS & COVERS
PROTECTIVE COVERS
ENCLOSED-SHAPE BELLOWS | QUOTE REQUEST FORM
EXTENDED
4. Cover Dimensions
RETRACTED
For round shapes, specify diameter. For rectangular shapes, please specify height
and width dimensions.
Dimensions specified in:
in
mm
BELLOWS
O.D.
Bellows I.D:
Covered Part Dimensions:
Diameter: ________
or 4-sided: ________ x ________
BELLOWS
I.D.
“A”
| Enclosed-Shape Bellows
Bellows O.D:
(must be greater than dimensions(s) listed above;
if left blank, we will determine the proper clearance)
Diameter: ________
TRAVEL
O.D. = Outside Diameter (round) or Outside Dimensions
(rectangular)
or 4-sided: ________ x ________
I.D. = Inside Diameter (round) or Inside Dimensions
(rectangular)
Maximum Allowable Bellows O.D.: Diameter: _______ or 4-sided: _______ x _______
5. Extended/Retracted/Travel Requirements
EXTENDED
Specify extended and retracted length requirements, or indicate travel and we
will advise retracted length. (Extended length = retracted length + travel)
Dimensions specified in:
in
Extended Length: ________
RETRACTED
TRAVEL
mm
Retracted Length: ________ Travel Distance: ________
BELLOWS
O.D.
BELLOWS
I.D.
“A”
6. End Dimensions
Specify a type along with relevant dimensions for each end. For round shapes, specify diameter. For rectangular shapes, please specify height
and width dimensions.
FLANGE
O.D.
STANDARD FLANGE
INSIDE FLANGE
FLANGE
I.D.
FLANGE
I.D.
FLANGE
I.D.
COLLAR
WIDTH
COLLAR
WIDTH
COLLAR
FLANGE
O.D.
FLANGE-TYPE COLLAR
COLLAR
I.D.
COLLAR
I.D.
End 1 Type:
End 2 Type:
Standard Flange
Inside Flange
Collar
Flange-Type Collar
Flange O.D.: ________
Flange I.D.: ________
Collar I.D.: ________
Collar Width: ________
or 4-sided: ________ x ________
or 4-sided: ________ x ________
or 4-sided: ________ x ________
End 1 Mounting:
Mounting Hole Pattern*
Mounting Plate**
Clamp†
Standard Flange
Inside Flange
Collar
Flange-Type Collar
Flange O.D.: ________
Flange I.D.: ________
Collar I.D.: ________
Collar Width: ________
or 4-sided: ________ x ________
or 4-sided: ________ x ________
or 4-sided: ________ x ________
End 2 Mounting:
Mounting Hole Pattern*
Mounting Plate**
Clamp†
7. Bellows Accessories
Zipper
Inside Wires
Outside Wires
Tie Strips
Internal Support Guides‡
Outer Grommets for Support Rod
Breather Vents
*Drawing required.
**Shipped blank unless hole pattern specified; drawing required.
†0.5" I.D. minimum. Clamps are stocked in any size required. Clamp band is 0.5" wide.
‡Recommended for screw covers.
16
Phone: 262-786-1500 or 800-298-2066 | Fax: 262-786-3280 | Email: [email protected] | www.dynatect.com