Application Information Request

APPLICATION INFORMATION REQUEST FORM

First Name

Last Name

Email Address

Company Name

Phone

Position Title

Application Details – Comments

A. Bolt protrusion through the nut

B. Nut height

C. Distance from flange face, housing or framework to headroom confict or restriction

D. Distance from top of bolt to headroom restriction

E. Center of bolt to side or radius restriction

F. Edge of nut to side or radius restriction (measure from the hex or tightest point)

Bolt Quantity

Bolt Diameter (A)

Bolt T.P.I.

Bolt Grade

Bolt Material

Maximum Working and Operating Temperature

Nut A.F (across the flat) Socket Size (B)

Current Nut Grade

Current Nut Material

Torque (ft. lbs.)

Torque + Angle (ft. lbs. + degree turn)

Load (lbs. / Kn)

% of Yield

Lubricant

4 + 14 =

View the diagram below, then fill in the form on the left side. Please enter as much information as you can for each section and submit the form.