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Cylinders

Multiple-Stage (Telescoping) - Application Data Form

Company Name:
Company Phone Number:
Email:
Intended Use:
Type:	Single Acting Double-Acting Other:
Number of Stages:

Requirements/Customer Specifications
Barrel:	O.D.	I.D.	Special
Stage 1:	O.D.	I.D.	Stroke	Note
Stage 2:	O.D.	I.D.	Stroke	Note
Stage 3:	O.D.	I.D.	Stroke	Note
Stage 4:	O.D.	I.D.	Stroke	Note
Stage 5:	O.D.	I.D.	Stroke	Note
Stage 6:	O.D.	I.D.	Stroke	Note

Total Retracted Length:
Operating Pressure (psi):
Operating Fluid:
Total Extended Length:
Operating Temperature:
Flow Rate (gpm):
Total amount of Push/Force Required (lbs):
Cycle Time:	/min
Special Mounting Requirements:
Special Features or Comments: