Custom Bridge Crane Blocks Form
Please provide the following information so one of our representatives can contact you regarding your special order.
Customer Name:
Date:
Address:
City:
State, Zip:
Phone:
Fax:
E-Mail:
Customer Contact Name:
Quantity:
SHEAVE INFORMATION
Sheave Diameter:
Wire Rope Size:
Number of Sheaves:
BEARING TYPE
Bronze Bushing
Roller Bearing
Tapered Roller Bearing
Other
BLOCK INFORMATION
Dimensions: A:
B:
C:
Working Load Limit:
CMAA Rating:
LOWER FITTING TYPE
Single Point Hook
Duplex Hook
Swivel Hook
Other
Locking Mechanism
Overhaul Weight Requirements:
APPLICATION INFORMATION
Lead Line Speed:
Environment:
SPECIAL REQUIREMENTS
Special Testing:
Finish:
Third Party Inspection/Approval:
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Web Centers of America, Inc.