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McKISSICK® Custom Lead Sheaves

Customer Name:

Date:

Address:

City:

State, Zip:

Phone:

Fax:

E-Mail:

Customer Contact Name: Quantity:
SHEAVE INFORMATION        
Sheave Diameter: Wire Rope Size: Number of Sheaves:    
BEARING TYPE        
□ Bronze Bushing □ Roller Bearing      
□ Tapered Roller Bearing □ Other      
BLOCK INFORMATION        
Style: □ Vertical □ Horizontal    
Dimensions: A._________________ B._________________ C._________________ D._________________
APPLICATION INFORMATION        
Line Speed: _________________ Single Line Pull:_________________ Degree of Wrap:_________________
Environment:__________________________________________________________________
FREQUENCY OF USE:        
Continuous:_________________ Intermittent:_________________ One Time:_________________
SPECIAL REQUIREMENTS    
Special Testing:
Finish:
Third Party Inspection / Approval:

Vertical Deck Guide
Horizontal Deck Guide
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