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Your support inquiry

Simply fill in the fields below and one of our staff will contact you as soon as possible.

Alternatively you can download the form below as a PDF file here.



 1.0  PERSONAL INFORMATION
Title Mr Ms
Last name
First name
Company   Cust. no..
Department
Street/No. /
Postcode/City/Town /
State
Country
Telephone
Fax
E-Mail
 

Fields in bold type are mandatory. Please fill them in.

Quantity expected
Project
 
 2.0  GENEREL REQUIREMENTS 
Field of application

Mounting position

Environmental conditions

Standards to be complied with

Ambient temperature in °C

Maintenance possible

 
Service life (revolutions)

Protection class IP..

Additional information

   
 
 3.0  MECHANICAL SPECIFICATION
Max. size in mm

Revolutions/day

Free internal diameter in mm

Days switched on/year

Max. breakaway torque in Nm

Reversing

 
Max. revolutions (rpm)

Clock frequency

Additional information

   
 
 4.0  ELECTRICAL DATA 
 

No. of poles

Voltage

Amperage

High current

Control current

Measurement current

Data bus

Max. frequency (MB)

 

Encoder, model

     

Plug connector

Yes No

Connector wanted

  

Direct line terminal

 (m)    

Additional information

                                          
 
  5.0  MEDIEA DISTRIBUTOR
Number of media distributors required (if individual requirement)  
Specification :
  Number of channels Pressure Connection size
Air
Watter
 Hydraulic
Adhesive
Other (gas, etc.)

Additional information

   
 
 
           

Moog Rekofa GmbH

Bergstrasse 41
53533 Antweiler

Fon +49 (0) 2693-9333-0
Fax +49 (0) 2693-9333-209
E-Mail info@moog.rekofa.com

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