Complete this form, print, then fax to Fluoron: 410-392-4357
Contact:
Phone:
 -  - 
Company:
Fax:
 -  -
Address:
    
 
State/Province:
City:
Zip:

Diameter of Roll: ________

Groove Shape: (circle one)

 
Width (As indicated in red): __________________

Quantity: ____________

1. When is your next planned shutdown? _________________________________________

2. How long is the timeframe we have to perform the work?  _________________________

Comments: ________________________________________________________________
__________________________________________________________________________

If the diameters of the dryer grooves are different then we can and should build up the smaller diameters to the larger diameters to prevent slippage.  We recommend that the diameter (or circumference) of all the dryers be measured. Fluoron can survey the machine and take these measurements if a purchase order is issued in the amount of $1,000 (which will be credited to the overall order of $10,000 or more).