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

    Altitude

    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)
    PusherSucker

    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

    Fax

    Street Address

    Street Address #2

    City

    State

    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