SNAPIDLE BELT TENSIONER FORM

PRINT THIS FORM OUT AND FAX IT TO 509-575-0890

For more information on the Snapidle Belt Tensioner, you may call us at

1-800-836-4721 or Fax us at 509-575-0890 with the following information

DATE

NAME

COMPANY NAME

PHONE

FAX

LENGTH OF BELT:

TYPE OF BELT:

HOW MANY BELTS and BELT WIDTH:

DIAMETER OF DRIVER PULLEY:

DIAMETER OF DRIVEN PULLEY:

CENTER DISTANCE:

RPM:

HORSE POWER:

WHAT KIND OF APPLICATION WILL THIS BE USED ON?

HOW MANY WOULD YOU LIKE: