940 Alton Parkway
Birmingham, AL 35210
TOLL FREE: 1-800-299-2645
Armature Coil Form
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CUSTOMER
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CONTACT EMAIL
*
TELEPHONE
Please enter a valid phone number.
P.O. NUMBER
DATE ORDERED
-
Month
-
Day
Year
Date
ST.
RUSH
O.T.
SHIP VIA
MANUFACTURER
H.P. / K.W. / K.V.A.
R.P.M.
PHASE
VOLTS
AMPS
MODEL
TYPE
FRAME
H.Z.
SERIAL NUMBER
SVC. FACTOR
TEMP. RISE
Special Features
Rows
YES
NO
Tin Leads?
1/4 Twist?
Terrace Wound?
Corona Shield?
Knuckle lift critical?
End bell clearance is tight?
RTD's?
Samples Needed?
* # of Slots
*
* # of Bars
*
* Span 1 &
*
* # of Turns
*
* Wave or Lap
*
* Right or Left Top Coil
*
* Wire on Edge or Flat
*
* Wire Type Glass / Film
*
* Orig. Wire Size
*
* Change Wire Size to
*
Arrangement: Width
*
Arrangement: Height
*
* Weight Per Coil
*
1. Core Diameter
2. Core Length
3. Core to Rear of Comm.
4. Rear Coil Extension
5. Riser Width
6. Front Coil Extension
7. Finger Plates
8. Comm Length
9. Riser Diameter
10. Clearance
Skewed Slots?
Yes
No
SKEW DISTANCE
*Riser Type Solid / Open
*
* Number of Equalizers
*
* Equalizer Wire Size
*
* Swedge Leads Yes/No
*
* Leads Tin or Bare
*
* Slot Paper Yes/No Size
*
Insulation Class
*
VPI
F (Dip/Bake)
Other
Remarks:
Previous Job # CMI-
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