Filter Belts
A Division of National Filter Media
12 Winada Drive
Winthrop, ME 04364
Phone:  207-377-2626  *  Fax:  207-377-2629
1-800-321-5223

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Horizontal Filter Equipment Survey Form

Please fill out the following information and either
Print and fax this form to us or click on the "Submit"
button below to e-mail your form to us. 

Your inquiry will receive our most careful and prompt attention

Submitted by: 
E-Mail:
Telephone:     
Fax:
Company:   
Address: 
City:
State:  
Zip:
Number of Units:
Sample Submitted: Yes    No        Date:
Sample To Be Returned:     Yes    No
Type of Cloth:
Finish of Cloth:
Material Handled: 
Permeability (CFM): 
Closure Design:
Edge Design:
Material Weight:    
Operating Temperature:
Equipment Manufacturer:
Other:
Belt Dimensions:  
Width:    
Length:    
Present Operating System: Satisfactory   Unsatisfactory
Comments:



Filter Belts
has been custom manufacturing belts, sectors and
offering replacement parts for over twenty-four years.
Quality, service, consistency & courtesy are our trademarks.

Please email gpaul@nfm-filter.com with questions, concerns or comments regarding this web page.