Shaw Almex Fusion, LLC. 2933 Miller Road, Decatur, GA 30035 Quote Form – FBSK-2020-1

Fabric Conveyor Belt Splice Kit Request Form

Step

Square Bias

Inches MM

PIW EP

Plied Straight Warp

Finger

Inches MM

Yes No

Inches MM

Inches MM

Yes No

Yes NoYes No

Yes No

1. Splice Type *

1. b. If Finger – Square or Bias

2. Belt Cover Grade *

3. Belt Manufacturer *

4. Belt Trade/Model Name

5. Belt Width *

6. Rating *

7. Carcass Type *

8. Number of Plies or Fabric Layers *

9. Top Cover Thickness *

10. Bare Back Bottom (no cover) *

11. Bottom Cover Thickness *

12. Splice Length (Overall)

13. Splice Diagram

14. Elevator or High Angle Conveyor*

15. # of Splice Kits ?

16. Upgrade to Premium Quality?

Step Splice (Bias), EPDM,{ BELT MANU}, {BELT MODEL} 36”, 330 PIW, Plied, 3-ply, 3/16” Top, 1/16” Bottom, 20” Splice Length Overall, No Diagram, No HAC

Email:

Phone:

To ensure the correct splice kit is quoted and supplied, please fill out the following. Required fields have a red border and are denoted with an '*'.

Name:

Company:

Location:

Please send the completed form and (optional) splice diagram to splicekits@almex.com

An example specification would look like this:

Yes No

i.e. Standard (ARPM 1), MSHA, EPDM, MOR, 350 °F, etc.