DEECO metals

BEARING and BUSHING  ORDER / INQUIRY FORM

Instructions for this form: To fax or mail an inquiry or order to our offices, please print a copy of this form, fill it out and return it to us. Fax the completed form to 1-973-373-0080. You can  mail the form to: 10-16 Renee Place, Irvington, NJ 07111 USA
Date:  
Company Name:  
Company Address:  
Your Name:  
Phone & Fax:  

B/P or DWG. Number: _________________   Unit or Machine:___________________

Qty. Required:___________   Is this a regular requirement?____  How often?____________

Check one:      One piece (solid) ___      Two piece (split)___     Thrust Washer___

What is the Alloy requested? ____________________________________________________

Please provide the following dimensions: (click here to see a reference drawing)

A) Shaft Diameter:_______________         B) Housing Bore for Outside Dia.: _____________

C) Overall Length: _______________        Does Bearing have Flange?    Y     N   (circle one)

Flange info:     D) Diameter: _______________     E) Thickness: _______________

Is Flange Plain or Lubricated?   P     L  (circle one)         Speed, in R.P.M.:_______________

Approximate Load in psi of projected bearing area:_______________

Motion Info:    Full Revolution:   Y    N   (circle one)        Oscillating:    Y    N   (circle one)

Minimum Degrees:_______________         Sliding:_______________

If load or motion is intermittent, descibe conditions:


Describe conditions of temperature, moisture, vapor or dust:


UNLESS YOU ADVISE OTHERWISE, IT WILL BE ASSUMED THAT YOU REQUIRE A RUNNING FIT ON THE BORE AND A PRESS FIT ON THE OUTSIDE DIAMETER.