Design Request Form for Multi-Disc Brakes NameThis field is for validation purposes and should be left unchanged.Customer/Company Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican 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 RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussian FederationRwandaSaint 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 TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Enter Email Confirm Email PhoneFaxName of person requesting analysis* First Last Your Title Application (Model # and description or function)Model # of existing brake being usedManufacturer of existing brake being usedExpected sales volume - 1st yearExpected sales volume - 2nd yearExpected sales volume - 3rd yearPlease select which method of measurement you are using.* Imperial/US Metric VehicleTotal weight unloaded (lbs)Total weight unloaded (kg)Total weight loaded (lbs)Total weight loaded (kg)Front wheel weight unloaded (lbs)Front wheel weight unloaded (kg)Front wheel weight loaded (lbs)Front wheel weight loaded (kg)Rear wheel weight unloaded (lbs)Rear wheel weight unloaded (kg)Rear wheel weight loaded (lbs)Rear wheel weight loaded (kg)Center of gravity height unloaded (in)Center of gravity height unloaded (m)Center of gravity height loaded (in)Center of gravity height loaded (m)Wheel base (in)Wheel base (m)Total number of wheelsTotal number of braked wheelsNumber of braked wheels in frontNumber of braked wheels in rearTire Rolling Radius (R¹) - Front (in)Tire Rolling Radius (R¹) - Front (m)Tire Rolling Radius (R¹) - Rear (in)Tire Rolling Radius (R¹) - Rear (m)Gear Ratio Wheel-to BrakeBrake locationIn-wheelDrive-lineOtherIf other, please explainBrake expected stop surfaceDescription of worst case enviornmentDesired Braking Performance of VehicleBrake application Service brake Park brake Emergency stop Emergency stop on grade Holding brake Other If other, please explainNumber of brakes needed per vehiclePark Brake RequirementsForward grade (%)Forward grade (degree)Reverse grade (%)Reverse grade (degree)Duty CycleMaximum stops per hour@ (mph)@ (km/h)Stop distance (ft)Stop distance (m)Deceleration (ft/sec²)Deceleration (m/sec²)Maximum Vehicle Speed (Unloaded)Maximum vehicle speed (unloaded)Maximum vehicle speed (unloaded)Stop distance (ft)Stop distance (m)Deceleration (ft/sec²)Deceleration (m/sec²)Maximum Vehicle Speed (Loaded)Maximum vehicle speed (unloaded)Maximum vehicle speed (unloaded)Stop distance (ft)Stop distance (m)Deceleration (ft/sec²)Deceleration (m/sec²)Drive-through requirement (Hold max driveline torque) Yes No CommentsAny standards that apply to this applicationCustomer's calculated torque requirementGeneral Application DataHydraulic motor model #Hydraulic motor manufacturerSAE mounting designation: A,B, etcOther2-bolt4-boltShaft size & configurationSplineKeyTorque (in.-lb)Torque (Nm)@ PSI (maximum)@ BAR (maximum)Maximum speed (RPM)Loop type Open Loop Closed Loop Gear reducer model #Gear reducer manfufacturerReduction ratioSAE mounting designation: A, B, etc.Other2-bolt4-boltGear reducer input shaft requirementBrake OperationType: Charge PressureSystem PressureOtherMaximum pressure seen at brake (PSI)Maximum pressure seen at brake (BAR)Minimum pressure seen at brake (PSI)Minimum pressure seen at brake (BAR)System bar pressure (PSI)System bar pressure (BAR)DryOil immersedFlow-throughType of oil used to release brakeType of oil immersed or flow-throughAdditional commentsCAPTCHA Δ