Breeza Fan Worksheet

Complete the form below with details of your existing fan to be replaced. Please complete as much of the worksheet as possible. Once submitted, a representative will be in contact with you shortly.

* – required field

Air Flow Requirements

CFM Required

Static Pressure Required

Fan Drive Ratio (Ex: 1.1:1)

Governed Engine Speed

Max. HP

Correction Factors (skip if already corrected for)

Air Temperature at Fan


Fan Blade Information

Fan Diameter

(B) Pilot Diameter

(A) Bolt Circle Diameter

(D) Number of Bolt Holes

(C) Bolt Hole Diameter

Rotation of Fan (ie - pusher or sucker)

Tip Clearance

Shroud Type

For Shaft Driven Fans

Shaft Diameter

Shaft Length

Key Size

Set Screw Size

# of Set Screws

Boss of Fan
Facing MotorNot Facing Motor

Additional Information

Contact Information

Company Name*

Contact Person*

Email Address (either email or phone is required)

Phone Number


Street Address

Street Address #2



Zip or Postal Code

Country Other Than USA

Fan Rotation

To establish rotation stand behind the power and look towards the fan.  Motor first, fan second.

Bolt Location
Boss on Fan