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Only the fields preceded by a * are mandatory: (the surname and, 
either the e-mail address, the telephone number, or the mobile number)

Please, fill your Surname Please, fill your e-mail address, the telephone number, or the mobile number Please, answer to the antispam question
* Surname		Address
First Name		Town/City
* E-mail		Country
* Telephone		Postal Code
* Mobile		Fax
Total length of conveyor belt		mm
Number of rods
Total width of conveyor belt  (take existing wear into account)		mm
Conveyor belt spacing  (dimension from the centre of the rod to the centre of the next rod: measure the distance from centre to centre of 11 rods and divide by 10)		mm
Number of rubber belts
Width of the belts
Type of belts		Flat  Notched  Protection
Diameter of the rods		mm
Free space between the rods		mm
Possible elbow		Facing the bottom  The top
Height of elbow		mm
Coating		PVC  Black PET  Vulcanized  Air cushion
		With gear passage  Flat of belt
Fixture of rods on the central belt		Links  Flat
Metallic FEEDERS
Type
Number
RUBBER FEEDERS
Height		mm
Length
Section		oui  non
Number
Pebble traps
Number
Locking device		Hinge  Overlay  Closed belt
Antispam Question What is the result of : 19 - 12 =