Request form Driveshaft

Lz (length pushed together) in mm.

or EBL (operating length) in mm.

D (pipe diameter) in mm.

RL (pipe length) in mm.

A (flange diameter) A1 / A2 in mm.

Number of holes A1 / A2 in pcs.

B (hole diameter) A1/A2 in mm.

H (flange height) A1/A2 in mm.

LB (bearing bush diameter) A1/A2 in mm.

Connection Type *

Type of lubrication *

Personal Details:

Company

Your name

E-Mail *

Phone number

Street

Postcode / City

File Upload (optional)

Other Information

All Fields with an asterisk (*) are mandatory and must be filled in for correct processing.

Quantity *