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www.techno-isel.com
Name: _____________________________________________ Phone: _______________________________
Company Name: ______________________________________ Fax: _______________________________
Address 1: ________________________________________________________________________________
Address 2: ________________________________________________________________________________
City: ________________________________________ State: _________________ Zip: ________________
Brief Description of Application: _______________________________________________________________
_________________________________________
E-mail: _____________________________________
Max Load: ________________________________
Max Speed: _________________________________
Max Accel: __________________________________
Please use this area for any notes or diagrams:
Travel: _____________________________________
Complete Cycle Time: _________________________
Orientation: _________________________________
Accuracy Needed: ____________________________
Anti-Backlash Nut Required: (Yes / No) ___________
Integral Flange Nut Required: (Yes / No) __________
Finished End Required: (Yes / No) _______________
Supply drawing (Note: Finished ends for OEM quantities
only: i.e. 25 or higher)
End Bearings Required: (Yes / No) ________________
Base Mount or Flange Mount of End Bearings: ____________________
Ball & Acme Screw Application Worksheet
