Name:
Title:
Company:
Address:
City:
State:

Postal:

Country:
 
Phone:
Fax:
e-mail:
"A"= Overall Length:
"B"= Largest Diameter:
"C"= Centerline of First Clamp from Support End:
Diameter of Shaft at area "C":
"D"= Centerline of Second Clamp from Support End:
Diameter of Shaft at area "D":
"E"= Centerline of Third Clamp from Support End:
  Diameter of Shaft at area "E":
NOTE: Larger Canisters May Require 3 Clamps.
OPTIONS YES NO
On Board Nitrogen System
Extra Nitrogen Bottle
Low Pressure Alarm Switch
View Port