Please fill out the form below or download this form and fax it to us at: 607-722-7128 or email quote@samscreen.com
Company Name*
Name*
Company Phone*
Email*
Total length of clamp rail (inches):
Clamp rail thickness (our standard is ¼”):
Number of bolt holes:
Type of bolt hole:
RoundSquare
Size of bolt hole:
Bolt hole spacing:
Length of leg from angle to angle:
Length from edge to center bolt hole:
Bottom Leg Length:
Bottom leg Degree of bend:
Top of Leg Length (to outside bend):
Top Leg Degree of Bend
Manufacture & Model of screening plant:
Special Details
*Note, we have several standard formats on file based on the make of machine - ask the Samscreen Rep if we have one for your machine. Also, we can accept a clamp rail tracing, but will need to have certain dimensions given in order to make sure it’s to a proper scale. Please contact us if any questions – 800-667-4767. You may also download this form and fax it to us at: 607-722-7128 or email quote@samscreen.com
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