Carlisle Industrial Brake & Friction

Hydraulic Application Questionnaire
Customer Information

Date:
Company Name:
Address:
Telephone:
E-mail: (required)
Fax:
Full Name: (required)
Title:

Application Information
Vehicle Model:
Part Number:
Sub Assembly Number:
Brake Valve Series (1100/2100):
Estimated Annual Quantity:
Input Pressure (psi):
B1 Output Pressure (psi):
B2 Output Pressure (psi):
Reverse Modulation (yes/no):
Comments/Handling/Special Instructions:

Brake Valve Options	Customer Requirements
Actuator Type:
Dead Band:
Pedal Travel (Dependent on valve selection):
Initial Pedal Angle:
Pedal Force (Medium/Heavy)(Pounds*):
Pilot Operation:
Port Orientation:
Port Threads Option:
Proximity Switch:
Proximity Switch Pressure Setting:
Integral Port For Pressure Switch:±
Differential Pressure Switch:**
Differential Pressure Switch Pressure Setting (psi):
Staging:±±
Staging Point (psi)²:
Bias:**±±
Bias Lead Circuit
Bias Pressure Lead (psi):

* Available on 1100 Series Only ** Available on 2100 Series Only ± 1100 Port-Bottom; 2100 Port-Side ±± Options May Affect Lead Time and Price

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Hydraulic Application Questionnaire