Universal Coil Manufacturing ~ International Sale of Coils

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Please fill out and submit the online form below. We will contact you regarding your submission. To print and fax this form, please click here. * Please be sure to include your name and email address. Both are required for us to receive this form. Thank you!

Name:*
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Address:
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P.O. #:
Date:
MFG
H.P.K.W.
R.P.M.
Frame:
Volts:
Amps:
Model:
Type:
Phase:
HZ:
Temp Rise:
SN

Winding Data
Number of Slots
Coil Span I &
Number of Circuits & Connectors
WYE or Delta
Jumper Connector	1-4 or 1-7
Wire Size	X X X
	X X X
Wires in Hand
Strand Insulation	Enamel Glass Mica
No. Turns
Grouping

Core Dimensions
1.	Core Bore Diameter
2.	Core Length
3.	Finger Length
4.	Total Slot Depth
5.	Depth Under Wedge
6.	Slot Width (dec. dim.)
Coil Dimensions
7.	Small Knuckle Drop
8.	Large Knuckle Drop
9.	Coil Ext. Lead End
10.	Coil Ext. Opp. End
11.	Bottom Straight Length
12.	Top Straight Length
13.	Total Coil Length
14.	Table Top Height
15.	Chord Dimension

Type of Insulation Required
	"F" Varnish Treated
	"H" Varnish Treated
	Sealed Resin Coated
	Hermetic Untreated
	VPI Untreated


Special Instructions	Yes	No
Data Change
Turn Insulation
Skewed Slot
Terrace Wound
Knuckle Drop Critical
End Bells Close
Tin Lead
Taped Leads
Corona Shield
Slot Paper Use
RTDs in Use: Ohms Qty
Wedges: Size Qty

Skewed Left
Skewed Right

16.Left Top		18.Right Bottom
17.Left Bottom		19.Right Top

Universal Coil Manufacturing
2605 N Concord Rd | Belle Chasse, LA 70037
Phone: 504-367-8880 | Fax: 504-367-8960
Toll Free: 1-800-982-3390

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