Superbolt, Inc. Product Data Form

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Product Bolting Data:

Please fill out the following form as completely as possible.

Name:
Company:
Address:
City:
State:
Country:
Zip:

Phone:
E-Mail:

Product:
Quantity:
Thread Size/DIA:
TPI (pitch):
Length:
Thread Form:
Stud / Bolt Material:
Space Restrictions?	YES NO
If Yes: Please detail Maximum Allowable OD and Total Allowable Height. Can the Jackbolts extend past the nut?

Operating Temp:
Design:
Operating Pressure:
Design:

	Tightening Requirements: (Fill in one of the following, if known)
Hex Nut/Bolt Torque:	lb•ft / Nm
Preload:	lbs / kN
Stud/Bolt Stress:	psi / MPa

Describe Application:
Special Requirements: Corrosion, Coatings, Materials, Preload, etc.

Where did you hear about us?

Superbolt, Inc. PO Box 683 • 1000 Gregg St Carnegie, PA 15106
Phone: 1-800-345-BOLT (in U.S.A.) 1-412-279-1149 • Fax: 1-412-279-1185

Superbolt® products are protected by trademark rights and one or more U.S. patents: RE 33490; 4,846,614; 5,083,889; 6,199,453;
6,381,827; 6,112,396; 6,263,764; other patents pending and corresponding foreign patents.