Application Assistance Fan Worksheet Customer Information Name Title Company Address 1 Address 2 City State Zip Country Phone Fax E.Mail Application Information Equipment New Design? Yes No Application Description Project Name Project Life Annual Usage Target Price Design Parameters Voltage Preference VAC VDC ......FrequencyHz Size Restrictions (max. space) Est. Cooling Required cubic feet/minute Est. System Static Pressure Power to be Dissipated watts Power Connections Wire Leads Terminals Special Connectors Safety Agency Approvals Needed UL CSA VDE Bearing Preference Ball Sleeve Special Modifications or Markings Operational Considerations Ambient Temperatures (°C or °F) Allowable Temp. Rise Within System (°C or °F) Noise Levels Expected dB (A or SIL scale) Mounting Technique to be used Mounting Orientation Horizontal Vertical Ventilation Method Pressurized Exhausted Accessories Required Filter Finger Guard Anticipated Volume Back to top of page

ETRI France ZI de la Bonde 15 rue du Buisson au Fraises - Bat C F-91300 MASSY Tel: +33 (0)1 69 75 81 81 Fax: +33 (0)1 69 75 81 79 E-mail: info@etrinet.com	ETRI Deutschland Dr Carlo Schmid Strasse 176 D-90491 NÜRNBERG TEL: +49(0) 911 5976 712 FAX: +49(0) 911 5976 713 E-mail: etri.deutschland@odn.de	ETRI / Rosenberg USA 1010 Forsyth Avenue Indian Trail, North Carolina 28079 USA TEL: +1-704/893-0883 FAX: +1-704/882-0755 E-mail: sales@rosenbergusa.com