EDDY CURRENT SEPARATOR
APPLICATION DATA QUESTIONNAIRE

Please fill out and submit the form below as much as possible:


Name:	Title:
Company:
Street:
City:	State
Zip:	Country:
Tel:	Fax:
Email:
Application:	Brief Description:
Bulk Material:	Product:
	Tons/Hour: Density: Cu. Ft./Hour:
	Lump Size: Minimum (in): Maximum (in):
	Hours of Operation per Day:
Vibratory or Oscillatory:	A. Width (in): B. Side Height (in):
Non-Metallics:	Minimum (in): Maximum (in):
Metallics:	Minimum (in): Maximum (in):
Approximate Shape: (Describe)
Metallic to be Extracted:	Maximum Length (in):
Site Conditions:	Ambient Temp: Maximum° Minimum°
Site Conditions:	Indoor: Outdoor:
A.C. Input:	Volts: Phase: Hertz:
Comments: