Cooling Tower Driveshaft Request Form

Driveshaft Selection Form

Customer Information:
Quote/Job Number:		Date:
Customer:		Location:
Phone Number:		Quantity:
DBSE:		Email Address:
DBSE: Distance Between Shaft Ends is defined as the length measured between the face of the gear box input shaft and the face of the motor shaft to within +/- 0.10 inches. Reference the schematic below for more information.

Motor Data:
Horsepower:
RPM:
NEMA Frame Size:
Motor Shaft Diameter:
Key Size:
Two Speed?	Yes No Not sure	Low Speed:	High Speed:
Variable Speed?	Yes No Not sure	Min Speed:	Max Speed:

Gear Reducer Data:
Reduction Ratio:
Input Shaft Diameter:
Key Size:

Fan Data:
Number of Blades:
Fan RPM: