DO YOU HAVE A MAGNETEK ACCOUNT? YesNo
FIRST NAME
LAST NAME
COMPANY NAME
EMAIL
COUNTRY Select One United States Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d’Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Viet Nam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
STATE/PROVINCE Select One Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
STATE Select One Aguascalientes Baja California Baja California Sur Campeche Chiapas Chihuahua Coahuila Colima Durango Guanajuato Guerrero Hidalgo Jalisco México Mexico, D.F. Michoacán Morelos Nayarit Nuevo León Oaxaca Puebla Querétaro Quintana Roo San Luis Potosí Sinaloa Sonora Tabasco Tamaulipas Tlaxcala Veracruz Yucatán Zacatecas
WHO IS THE END USER? Provide the following information for the first Motion type (Motor Quantity, HP, AMPS, RPM, Blower Motors)
WHAT IS THE RFQ NUMBER?
WHAT IS THE DATE REQUESTED?
WHEN IS THE DUE DATE?
GENERAL DESCRIPTION OF APPLICATION
MOTION #1 DESCRIPTION
MOTION #2 DESCRIPTION
MOTION #3 DESCRIPTION
MOTION #4 DESCRIPTION
MOTION #5 DESCRIPTION
MOTION #6 DESCRIPTION
MOTION #7 DESCRIPTION
HOIST MECHANICAL LOAD BRAKE? Yes No
HOIST IS A WORM GEAR? Yes No
WOUND ROTOR MOTORS? Yes No
HOIST BRAKES? Select One DC AC None
HOIST BRAKES RECTIFIER please provide RECTIFIER for Hoist Brakes in volts, amps, watts
TROLLEY BRAKES? Select One DC AC None
TROLLEY BRAKES RECTIFIER
BRIDGE BRAKES? Select One DC AC None
BRIDGE BRAKES RECTIFIER
LINE VOLTAGE Select One 460VAC 230VAC Other
CHANNEL VOLTAGE Select One 115VAC 120VAC Other
CMMA CLASSIFICATION Select One A-C D E F
AMBIENT TEMPERATURE (F)
INDOOR/OUTDOOR Select One Indoor Outdoor Direct Sunlight
INCLUDE PANEL HEATERS Select One Yes No
INCLUDE AIR CONDITIONING Select One Yes No
METHOD OF CONTROL Select One Pendant Radio Cab Isolation Other
SPEED CONTROL METHOD Select One 2SPD 3SPD 5SPD Stepless 0-10 / 4-20 / 10-10 2 Step Inf. Var.
THERMAL OVERLOAD RELAYS Select One Yes No
QUOTE MAINLINE CONTACTOR? Select One Yes No
QUOTE CONTROL TRANSFORMER? Select One Yes No
QUOTE MAINLINE DISCONNECT? Select One Yes No Rod Flanged Circuit Breaker
QUOTE CONTACT TYPE? Select One IEC NEMA (IEC Style)
QUOTE NUMBER OF ENCLOSURES? Select One One Multiple
NEMA RATING OF ENCLOSURE? Select One 12 4 4X Other
PANEL LED / BEACON LIGHT Select One Yes No
HORN? Select One Yes No
WILL YOU BE SUBMITTING A QUESTIONNAIRE FOR ANOTHER PRODUCT TO GO ALONG WITH THIS ONE? If yes, please share what other product questionnaire you will be submitting.
Comments