Order Form

Name *  
Surname *  
Phone *  
Company Name  
Requested Dişsan model (if known)  
Requested number of gearbox  
Requested gearbox type  
With motor Without motor
Foot mounted Flange mounted
With solid output shaft Shaft mounted
Motor power (kw)  
Gearbox input speed (rpm)  
Gearbox output speed (rpm)  
What is the type of driven machine?  
How is the gearbox connected to motor?  
How is the gearbox connected to the driven machine?  
Other requirements (backstop, forced lubrication, heat exchanger, etc.)  
For printing, please click first "Send" button and then print button.