Coupling & U-Joint Form General Information Name : State/Province: Title: Country: Company: Zip: Address Line 1: Telephone: Address Line 2: FAX: City: Email Address: Application Information Please provide a general description of the application. For example, the application may be a motor driving a shaft, or a motor may need to be attached to a sensor or encoder. What is the potential quantity this application may require? *(This will enable Helical to produce the most cost-effective product for your application.) Potential quantity: 1 2-5 6-10 11-25 26-50 51-100 101-150 151-200 200-500 501-1000 1000+ piece(s)/per year total piece(s) Operating Information Drive* Direction (see diagram) a b or Reversing Continuous Stop-Start cycles/sec RPM Manual Service* Operating Torque Lb. in. Nm Maximum Torque Lb. in. Nm Weight Equal to Less than Greater than oz. gm Torsional Rate* Equal to Less than Greater than Deg/lb in. Deg/Nm Misalignments* Angular degrees Parallel in. mm Axial Compression Extension in. mm Skew (Please provide a sketch (Windows Bitmap - BMP preferred) via e-mail to Engineering@Heli-Cal.com Inertial Limitation MASS MOMENT OF INERTIA Equal to Less than Greater than lb. in. sec^2 Kg cm sec^2 Environment a. Temperature degrees Fahrenheit degrees Celsius b. Corrosive c. Abrasive Flexure & Component Layout Please refer to above diagram 8. Please refer to above diagram for items a - g. a. Preferred Outside Diameter * in. mm Maximum Outside Diameter in. mm b. Preferred Length * in. mm Maximum Length in. mm c. Driver Description * d. Driven Description: * e. Shaft Diameter (Driver) * in. mm f. Shaft Diameter (Driven) * in. mm g. Shaft to Shaft* in. mm 9. Bore Tolerance: Commercial + .002 in. - .000 in. + .05mm - .00mm Precision + .0005 in. - .0000 in. + .015mm - .000mm 10. Attachments: Driver * Driven * Integral Clamp 2 Set Screws at 120° 2 Set Screw at 90° 1 Set Screw Roll Pin/Dowel Pin Keyway Regular, Square Woodruff Other (none) Regular, Square Woodruff Other (none) Other attachment(s) (Describe below): 11. Material: 7075-T6 Aluminum Alloy 17-4 Stainless Steel Other: * Items marked with an asterisk are essential for optimum design