1. Name:       Phone # *   

2. Fax #      E-mail:  

3. Enter same e-mail address for verification:

4. Address:   City:

5. State:  *    Zip Code:     Country of residence:

6. Your Company Name:
_______________________________________________________________________________________________
Machine Information:

7. Type of oven               Brand of oven    

8. Model # of oven               Country of mfr. of oven

9. FLA (Full Load Amperage) of oven
_______________________________________________________________________________________________
    HEATING ELEMENTS (if applicable):

10. Does the oven have 3-phase heating elements? Please Select Yes No
      If "yes",  then answer the next 3 entries about the heating elements:

      1. The voltage rating is     2. The amperage rating is   3. The kW rating is
_______________________________________________________________________________________________
   MOTOR LOADS (if applicable):

11. Does the oven have motors? Please Select Yes No
      If "yes," then answer the following entries about the motor(s):

Motor #1:
    A. The motor is: Please Select three-phase sinlge-phase Don't Know

    B. What does the motor drive:  Fan/Blower     Rotisserie    Rack    Conveyor

    C. Motor is: Wye-wound     Delta-wound     Don't Know

    D. Country of mfr.    Motor is:  one-speed    two-speed   

    E. Nameplate voltage rating    Amperage rating        RPM     

    F. Horsepower             kW rating           

Motor #2:
    A. The motor is: Please Select three-phase sinlge-phase Don't Know

    B. What does the motor drive:  Fan/Blower     Rotisserie    Rack    Conveyor

    C. Country of mfr.      Motor is:  one-speed    two-speed

    D. Motor is: Wye-wound     Delta-wound      Don't Know

    E. Nameplate voltage rating    Amperage rating        RPM

    F. Horsepower             kW rating
_______________________________________________________________________________________________
    Start Sequence if it applies:     

12. If the 3-phase load on the oven consists of more than one load that may come on at different
      times, we need to know:
      All loads can start together.
      The heating elements always start first.
      Motor #1 always starts first.
      Motor #2 always starts first.
      Other; please explain:
_______________________________________________________________________________________________

13. Single-phase voltage available: Please Select 220V 440V Don't Know       Cycles: Please Select 60Hz 50Hz  

14. 3-phase voltage required  Please Select 220V 380V 440V 575V Don't Know         Cycles: Please Select 60Hz 50Hz Don't Know  

15. 3-phase power required:  wye     delta     doesn't matter     don't know

16. CNC or other electronic controls (rheostat, variable frequency drive, etc.):
      Please Select 110 or 220V single-phase only There are some 220V three-phase controls There are no electronic controls I don't know if the controls are single-phase or three-phase I don't know if there are any electronic controls

17. Remarks:

For further sizing assistance call technical support at Phase-A-Matic, Inc.: 1-800-962-6976 

Phase-A-Matic, Inc.  ·  39450 3rd St. E., Ste. 127  ·  Palmdale, Ca. 93550-3251  ·  Toll free: 1-800-962-6976  ·  Ph: 1-661-947-8485  ·  Fx: 1-661-947-8764