Gordillo Bellows RFQ Click here for a PDF version of this form instead Step 1 of 3 33% Contact InfoName* First Last Company Name* Email* Phone Number* Rep Information AddressAddress Street Address Address Line 2 City State / Province ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 1. Application InformationPlease provide as much information as possible. If you have questions you’d like to discuss, let us know.Quantity Required:* Date needed by:* Equipment or part to be covered: Machine Make and Model: Cover Orientation: Horizontal Vertical Cross Rail 2. Operation Information**Please indicate unit of measurement for each value!Which temperature unit of measurement? Fahrenheit Celsius Continuous (ambient) Temperature: Intermittent Temperature Range (min.-max.) Frequency of Exposure: Distance from Heat Source* (if applicable): Maximum Travel Speed*: Movements/Day: Acceleration*: 3. Environmental InformationExposure Types: Weld Spatter Hot Chips/Swarf Metal Chips/Swarf Light Particles/Dust Water Coolant Cutting Fluid Petroleum/Hydrocarbons Oils (non-petroleum) Other: Contaminant Exposure Level: Minimal Occasional Heavy Application Requirement Notes:4. Extended/Retracted/Travel RequirementsFold Height: Overhang Available: Retracted Length (travel/minimum/maximum factor + 0.30): Extended Length (travel + retracted length): Shields: Rotating Fixed* *Stack-up space less than 1.25? (see note) Yes No 5. External Profile Cover Shape A B C D 6. Maximum Allowable Cover Width & Height From WayDimensions specified in: in mm MAH (Maximum Allowable Height From Way) Required: MAW (Maximum Allowable Cover Width) Required: Please Supply a sketch/drawing/CAD file of your application: Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, ppt, pptx, stp, step, dxf, dwg, slddrw, sldprt, idj, ipn, ipt, idw, ide, tif, tiff, Max. file size: 12 MB, Max. files: 5. 7A. Way Dimensions for Box/Bed Way CoverIf the way does not resemble the example shown, send a sketch/drawing of your actual way dimensions.7A. (Way Dimensions) Please write measurements with the corresponding number!Example: 1= 2.25 inches, 2=1.25 inches, 3= etc...7B. Way Dimensions for Linear Rail CoverIf the way does not resemble the example shown, send a sketch/drawing of your actual way dimensions.Covering Type: Dual Rail Single Rail (only fill dimensions on one side of sketch) Rail Model # Block Model # Rail Length 7B. (Linear Rail Cover) Please write measurements with the corresponding number!Example: 1= 2.25 inches, 2=1.25 inches, 3= etc... 8. Legs/Sides FinishingNote: For covers with stiffeners, legs can optionally be fabric-wrapped on the bottom and sides. Dynatect will design left/right sides (legs) according to cover orientation and way dimensions provided.Does Cover Ride on Legs? Yes No Leg Fabric Wrapping Options: Fabric on Sides Only (Standard) Wrap on Sides + Bottom (for exposure to contaminants or spray from sides or bottom of cover) 9. End Mounting Style & OptionsDynatect can provide customized end plates with mounting holes specified per drawing. Orders placed without holes specified are shipped blank, without bolt holes.End 1 Mounting Options: Open Flange Closed Flange Plate Hook & Loop Fastener Other/Special (provide drawing) End 2 Mounting Options: Open Flange Closed Flange Plate Hook & Loop Fastener Other/Special (provide drawing) CAPTCHANameThis field is for validation purposes and should be left unchanged.