Order Request – Chain

Fill out our online Chain Order Request form. Once submitted, a Connexus representative will review the order details and then contact you.

Or, if you prefer, you can download the Chain Order Request Form PDF fill out the information and then email it to us.

Customer Information

Customer(Required)

Email(Required)

Phone(Required)

Chain Specifications

• Please include as much information below as possible.

Chain Number

Quantity of Chain

Quantity of Chain – Measurement type

Ft

M

Chain Description

**Using the diagram below, please fill out the following details with as much information as possible**

Pitch (P)

Sidebar Thickness (ST1)

Sidebar Thickness (ST2)

Sidebar Height (SH)

Inner Width (IW)

Bushing Diameter (BD)

Bushing Style

2 Flats

1 Flat

Round

Pin Diameter (PD)

Pin Length (PL)

Roller Width (RW)

Roller Diameter (RD)

Attachments

• Please include as much information below as possible.
• Include photo’s and drawings if available, using the file upload feature on this form.

File Upload

To help us with your order request, you can upload up to 3 photos or sketches/drawings (.jpg) of the attachment.

Drop files here or Select files

Accepted file types: jpg, Max. file size: 5 MB, Max. files: 3.

Attachment Description

Attachment Spacing

Total Attachments

Additional Notes

Form Consent(Required)

I agree to the Privacy Policy and consent to being contacted by Connexus Industries

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