Date:
Burr Representative:
Title:
CUSTOMER INFORMATION
Company Name:
Street Address:
City:
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington D.C.
Zip:
Contact Name:
Phone:
E-Mail:
ACTUATOR APPLICATION
Describe application and provide drawing if available:
Drawing sent separately by:
Email
Fax
Postal Service
Quantity required this quote:
Annual Usuage:
SPECIFICATIONS
Operating Load:
Compression
lbs.
Tension
lbs
Static Load:
Compression
lbs.
Tension
lbs.
Total Stoke Travel:
in.
Retracted Maximum Center to Center (Clevises):
in.
Mounting Method (sketch or describe)
Drawing sent separately by:
Email
Fax
Postal Service
Rate of Travel:
In. per Min.
Life Expectancy:
Extend/Retract Cycles
Inches of Travel
Duty Cycle:
Minutes Running Time per Hr.
Hours per Day
Days per Week
OPTIONS REQUIRED
(List by part number)
ENVIRONMENT
Indoor
Outdoors
Ambient Temperature: Maximum
°F Minimum
°F
Describe any unusual environmental conditions
ACTUATOR INFORMATION
Gear Ratio:
17:1
25:1*
34:1
55:1
110:1
Electrical Requirements (DC):
12 Volt
24 Volt
36 Volt
110 Volt
220 Volt
Maximum Amperage:
Amp
Power Screw:
Ball Bearing Screw
Acme Screw
Overload Protection/End of Stroke Protection
Torque Limiter
Limit Switch
Current Limiter
*Available in 12 Volt DC Only
