EQM Roller Brush Specification Form

“*” indicates required fields

Customer Details

First Name

Last Name

Company Name

Position

Phone

Dimensions

A (mm):

C (mm):

E (mm):

B (mm):

D (mm):

F – Keyway Size (mm):

Filling Material

Type:

Gauge:

Trim Style:

Flat Trim

Corrugated Trim: High start

Corrugated Trim: Low start

Required Quantity:

Flat Trim

Corrugated Trim: High Start

Corrugated Trim: Low Start

Application:

(Please let us know any other important information)

Preferred Delivery Date: