<p> A REGAL-BELOIT COMPANY P.O. Box 1089, 2914 Industrial Avenue, Aberdeen, SD 57402-1089  (605) 225-0360  FAX: 605-225-0567  www.hubcityinc.com GEAR DRIVE APPLICATION DATA SHEET Customer:______Date: </p><p>Address: Contact: ____ Phone: Fax: E-Mail: Application: No. Starts/Day:______Reversing: Yes_____ No_____ Input Speed:______RPM, CW/CCW Output Speed:______RPM, CW/CCW Ratio:_____ Service Factor Required:____ Hours/Day Operation:____ Prime Mover:______HP:______Driven Equipment: Output Torque:______Type of Load:______Duty Cycle-Continuous:______Variable:______Input Shaft Connection:______Output Shaft Connection:______Shaft Arrangement (Style):______Ambient Conditions (Temperature, Contaminants, Corrosives):______External Loads (Overhung or Thrust Load & Direction):______Configuration (Model) Parallel:______Bevel:______In-Line/Concentric:______Worm:______Shaft Mounted:______Output Shaft – Horizontal:______Vertical Up:______Vertical Down:______Hollow Shaft:______Input Shaft – Horizontal:______Vertical Up:______Vertical Down:______Quantity Required:______(Month-Year):______Target Price:______Safety Consideration:______Application Sketch:</p>