EPTO APPLICATION FORM

CONTACT INFO

FIRST & LAST NAME*

EMAIL*

COMPANY NAME*

PHONE NUMBER

JOB TITLE

APPLICATION SPECS

TRUCK MODEL*

APPLICATION (Blower, Crane, Dump Truck/Trailer, Roll Off, Vacuum, Walking Floor, Other-specify)*

MOUNTING LOCATION (Behind the cab, Side frame, Other-spicify) *

DRIVEN COMPONENT TYPE (Hydraulic, Direct Drive)*

IF HYDRAULICALLY DRIVEN:

AVERAGE FLOW RATE (GPM OR LPM)

PEAK FLOW RATE (GPM OR LPM)

AVERAGE PRESSURE (PSI OR BAR)

PEAK PRESSURE (PSI OR BAR)

IF DIRECT DRIVEN:

AVERAGE SPEED (RPM)

PEAK SPEED (RPM)

AVERAGE TORQUE (FT.LB OR NM)

PEAK TORQUE (FT.LB OR NM)

AVERAGE POWER (KW OR HP)

PEAK POWER (KW OR HP)

DUTY CYCLE INFORMATION:

ACTUATOR CYCLE TIME (MIN)*

PERCENT OF CYCLE TIME AT PEAK (%)*

NUMBER OF CYCLES PER DAY*

ADDITIONAL INFO

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