Rubber Roller Quote Request

Please enter the information below and we will process your request immediately. If you have an urgent requirement, please call us at (315) 986-3511, or fax (315) 986-2827.

Can't submit the form? - Email us directly instead: pjshort@jjshort.com

Full Name: *
Email Address: *
Company Name: *
Address: *
City: *
State: *
Zip: *
Telephone:

Type of Work Requested:
Specify Core Material:
		If other, specify below:
Coating Durometer/Hardness: (Click here for an explanation)
		If other, specify below:
Rubber Type: (Click here for coating types)
Specify Color, if important:
Select, if any apply
Dimensions are:
Finish Outside Diameter:
Face Length:
Core Outside Diameter:
Overall Length (w/journals):
Journal Diameter:
Right Journal Length:
Left Journal Length:
Keyway Needed?:
If, yes, describe keyway and location:
Grooving Needed?:
If Grooving, specify type: (Click here for more information)
Finish Grind, specify type: (Click Here for more information)
Quantity: *
Specifications: Describe your application and list other specific needs.

Solve this Problem: 4 + 3? *