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Only the fields preceded by a * are mandatory: (the surname and, 
either the e-mail address, the telephone number, or the mobile number)

Please, fill your Surname Please, fill your e-mail address, the telephone number, or the mobile number Please, answer to the antispam question
* Surname		Address
First Name		Town/City
* E-mail		Country
* Telephone		Postal Code
* Mobile		Fax
Total length of the conveyor belt		mm
Number of rods
Total width of the conveyor belt (take existing wear into account)		mm
Conveyor belt spacing (dimension from the centre of the rod to the centre of the rod: measure the distance from centre to  centre of 11 rods and divide by 10)		mm
Number of rubber belts
Width of the belts
Type of belts		Flat  Notched  Protection
Diameter of rods		mm
Space between the rods		mm
		With Gear passage  Flat of belt
Locking device		Hinge  Closed belt  Overlay
Antispam Question What is the result of : 15 + 14 =