Proposal Required Date:

-- mm/dd/yy

Client Data

Please provide the following contact information:

Choose one of the following options:

Integrator OEM End User Sales Rep

Quote Type

Delivery Time-Enter number of weeks required:

Quote assembled conveyors?

Yes
No
Quote as an Option

Include controls?

Yes
No
Quote as an Option

Quote only as engineered bill of materials?

Yes
No

Include run-off at our facility?

Yes
No
Optional

Include installation assistance on a per diem basis?

Yes
No
Optional

Application Information

Choose one of the following to describe your application:

USDA PET/Plastics Paper Food & Packaging Automotive/Machined Parts Pharmaceutical Personal Care Products Electronic Clean Room Chemicals/Wash Down

Will operators pick parts from the conveyor chain by hand?

Yes
No

Please describe your application:

Product Data

Product Name:

Is the product rigid or flexible?

Rigid
Flexible

Enter the product length, specify inches or millimeters:

Enter the product width, specify inches or millimeters:

Enter the product diameter, specify inches or millimeters:

Enter the product height, specify inches or millimeters:

Enter the product weight, specify pounds or kilograms:

If this conveyor needs to handle multiple products, please provide product information for the additional products:

Specify the production flow rate in parts/min:

Estimate the % of conveyor filled:

Is the product in accumulation?

Yes
No

Product material in contact with conveyor:

Describe any accumulation problems:

Is a sample part available?

Yes
No

Is a customer layout drawing available? Please e-mail to engineering.dept@flex-lineautomation.com or fax to 618-826-5087

Yes
No

Are any security precautions required?

Yes
No

If yes, please specify:

Conveyor Specifications

Enter overall conveyor length, specify feet or meters:

Select a FlexLink chain series:

XS XL XM XH XB XW XT EM XA Other

Select a chain type:

Plain Friction Roller Cleated Flocked ISD Conductive Other

Specify cleat spacing in inches:

Does conveyor need to be wash-down?

Yes
No

Select a drive type:

Standard End Intermediate Direct Catenary Wheelbend

Choose the drive shaft location (from drive end with chain running away):

Left Hand Right Hand

Are transfers required?

Yes
No

If yes, please describe:

Include guide rails in quote?

Yes
No
Optional

Describe special guide rail considerations:

Enter the effective track width, specify inches or millimeters:

Select the following guide rail options that apply:

Single Rail
Double Rail
Hold Down Rail
10mm Aluminum
15mm Aluminum
10mm Flexible
15mm Flexible
10mm Flanged
10mm Steel
15mm Aluminum with Polyamide Coating
Polyethylene Guide Rail Cover (for 15mm rail only)
UHMW-PE Guide Rail Cover (for 15mm rail only)
Flanged Polyethylene Guide Rail Cover (for 15mm
guide rail only)
Guide Discs
Aluminum Tube

Select any of the following guide rail bracket options that apply:

Fixed
Adjustable
Aluminum
Plastic

Include conveyor supports?

Yes
No
Optional

Select the support type:

Aluminum Feet Steel Feet Casters Adjustable Bolted to Floor

Enter the in-feed elevation of the conveyor:

Enter the discharge elevation of the conveyor:

Include drip trays in quote?

Yes
No
Optional

Transmission Specifications

Enter conveyor speed in feet per minute:

Select a drive type:

Fixed Speed Variable Speed Indexing

For variable speed, enter the minimum fpm to maximum fpm:

For indexing, enter the rate of indexing in inches per second:

Motor:

Included Not Included Customer Supplied Optional

Motor Type:

Standard Washdown Explosion Proof Other

Enter the average number of start/stop cycles per hour:

Enter the hours per day that the conveyor will operate:

Enter the motor voltage/phase/hertz (example; AC440v/3ph/60hz or DC 90v):

Enter specific motor type or manufacturer if you have a required specification:

Motor Control:

Included Not Included Customer Supplied Optional

Select motor control:

On/Off AC Inverter DC Controller Mechanical Drive Clutch Brake Other None

Enter specific motor control type of manufacturer if you have a required specification:

Gear Reducer:

Included Not Included Customer Supplied Optional

Choose one of the following options:

Roller Chain Belt

Enter specific gear reducer type or manufacturer if you have a required specification:

Operating Environment Information

Enter the temperature of the system environment, specify F or C:

Enter the product temperature in contact with the conveyor, specify F or C:

Is there any foreign matter that could accompany the product?

Yes
No

If yes, please describe:

Will the conveyor be exposed to any coolants, chemicals, grinding swarf or debris?

Yes
No

If yes, please describe:

Automation Requirements

Will your conveyor require any specialty devices?

Yes
No
Quote as Option

If yes, please describe:

Select any of the following options that should be included in your quote:

Pallets
Pallet Stations
Pallet Stops
Transfers/Diverters
Bladder Stops
Other

Enter the size and number of pallets required:

Enter the number of pallet stations required:

Enter the number of pallet stops required:

Enter the number required and locations for transfers/diverters:

Enter the number of bladder stops required:

Please describe any special requirements for the above options:

Control Requirements

Specify control voltage:

Pneumatic Valves:

Yes
No

Sensors:

Yes
No

Programmable Logic Controller:

Yes
No

Specify controls required:

Project notes: