EA Series Application Form

Durashield EA series application form: Please fill out as many of the fields as possible. With this information we can determine which Durashield product will work best for your application. Be sure to include your contact information, email and telephone #. For custom seals, support and design information please contact info@agdproducts.com
Customer Information: Distributor use only:
Company Name
Contact Name
Address
City/State/Zip
Telephone #
Fax #
Email Address
Company Name
Sales Person Name
Telephone:
Email:
   
   
Machine information:  
REFER TO DIAGRAM >>>>
A: Shaft Diameter
B: Size & # of Bolts
C: Bolt Pattern/Bolt Circle
D: Body Dimension / Distance to O.D. Obstacles
E: Shaft Length
F: Distance to first obstruction
Defined in decimals / SAE
EQUIPMENT INFORMATION
Manufacturer
Type
Shaft material
Shaft runout
Shaft speed
Shaft condition
Shaft growth
Angular Misalignment
Shaft to wall clearance
Wall thickness at mounting location
Condition of mounting surface
PROCESSED PRODUCT INFORMATION
Does Product Pack?
Clean In Port (CIP) required?
Is product wet or moist?
Temperature
Product handled
Other material that
might contact seal?
Purge Medium
Durashield EA series part number generator
Shaft Dia.
 Seal Style Housing Material Wear Rings Temp Rating Purge
GENERATED DURASHIELD PART NUMBER: