Specification Form

Your data:

(Please complete the fields marked with *).

Customer*:

Date*:

Address*:

Zip code: *

City: *

Country: *

Responsible:

e-mail*:

Telephone*:

Telefax:

Mechanical requirements

Application:

Protection system:

Open system
with housing and storing

Mounting position:

Dimensions:

max. ∅ (external)
mm
free ∅ (internal)
mm
length
mm

Rotation speed:

r/min

Life span:

in mil. revolutions

Environmental conditions

Humidity:

Vibration:

Shock:

Acceleration:

Ambient temperature (min.-max.):

Comments:

Electrical data

Stator:

Rotor:

Number of paths	Application	Voltage (V)	Electricity (A)	Frequency / Data rates	+

Media rotary joints

Number of paths	Medium	Print	Cross section		+

Optical rotary joints

Number of paths	Wavelength	Plug type	Single Mode / Multi Mode		+

Customer requests

Quantity:

Delivery date:

Special characteristics

Please submit the figures displayed*