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C6
Plate Caster
Stem Caster
Replacement Wheel
2 3 4 5 6 7 8
Stem Length
A. ___ Inches
Stem Diameter
B ___ Inches
QUANTITY ______________________
Name ___________________________
Facility Name ____________________
Address _________________________
City ____________________State ___
Zip ________Phone (___) ___________
Fax (___) ____________PO# ________
Email ___________________________
Wheel Diameter
____Inches
Overall Caster
Height
____Inches
________Rigid Casters
Swivel Casters _______
__Swivel w/Total Lock
Top Plate Bolt Holes
A.
______
Inches
B.
______
Inches
Wheel Diameter
_____________
Inches
Overall Caster Height
_____________
Inches
ALCO SALES & SERVICE
6851 High Grove Blvd
Burr RIdge. lL 60527
Ph: 800-323-4282
Fax: 800-950-1167
www.alcosales.com
Wheel Diameter
A. ________In.
Tire Width
B. ________In.
Hub Width
C. ________In.
Axle Diameter
D. ________In.
Bearing Type:
________Delrin/Sleeve/
Plain
________Ball
________Roller
________Precision Ball
Additional Options:
Wheel Material:
______Grey Soft Non-Marking Rubber
______Polyurethane
______Other:__________________
Weight Capacity ______lbs./Wheel
# of Locking Needed ___________
# of Non-Locking Needed _______
Please Specify: Wheel Qty ______
___For Caster or ___Replacement
___Total Lock Brake
Please Circle Stem Type:
QUANTITY ___________________
Caster & Wheel Selection Guide
Please Measure your existing casters (if applicable), provide us with the required information and FAX, mail or email the form to us!
We will have one of our "Caster Experts" review your form and choose the caster that's right for you.
They will then contact and advise you of the available choices for final approval of the order!
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10
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1 - Central Locking
(Short/Long Stem)
2 - Wood Furniture Stem
3 - Tubular Metal Stem
4 - Grip Ring Stem
5 - Threaded Stem
Threads/Inch: ______
6 - Square Stem
7 - Round Expandable Stem
8 - Square Expandable Stem
9 - Threaded Pipe Stem
10 - Hollow King Pin Stemless