Trellcan's Questionnaire

Customer:

Contact:

Phone: Fax:

Type of equipment:

Model and manufacturer:

Environment for the application:

• Industrial
• • Stationary
  • Mobile
• Residential (e.g. hospital, hotel, office)
  
• Marine
• • Commercial vessel sea going:
  • • Yes No
  • Pleasure Craft
  • High Speed Craft

Total Supported Weight:

Number of Mounting Points:

Position center of gravity: Center Offset

Disturbing frequency range (e.g. rpm, Hz, strokes/min):

Is a combustion engine installed in the machinery? Yes No

If yes, number of cylinders: Four-Stroke 2-stroke

Position of mountings: Under the Frame Under the Engine

Additional comments: