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

Chain Specifications

  • Please include as much information below as possible.

Quantity of Chain – Measurement type
**Using the diagram below, please fill out the following details with as much information as possible**
Chain diagram
Bushing Style


  • Please include as much information below as possible.
  • Include photo’s and drawings if available, using the file upload feature on this form.
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
Accepted file types: jpg, Max. file size: 5 MB, Max. files: 3.

    Form Consent(Required)

    Note: After clicking the Submit button, please be patient while the form submits.