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*Company Name:
*Contact Name:
Title/Position:
Company:
Address:
City:
State:
Zip/Postal Code:
Country:
*
Phone Number:
Mobile:
Fax Number:
Email Address:
Drawing Attached:
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Attachments:
Quotation Quantity:
Delivery Requested:
Types of Device:
Data: Mechanical:
English:
| Metric:
Max Height:
M
a
x Width:
Max Depth:
Max Length:
Max OD:
Min OD:
Min ID:
Max ID:
Max Weight:
Units:
Ambient Working
Temperature :
°
Centigrade:
Fahrenheit:
Maximum Temperature Rise:
°
Duty Cycle:
Cooling:
Natural Convection
Chill Plate
Silicone
Forced Air
Heat Sinks
Epoxy
Water
Mineral Oil
Other
Operating Environmental Conditions:
Water Wash Down
Acidic
Spray Salt
Vibration
Dust
Indoor
Radiation
Altitude
Chemicals
Outdoor
Shock
Vacuum
Other:
Agency Considerations:
UL
CE
CSA
Mil-T-27
IEC
Other
Data Electrical
Input:
Voltage:
RMS
Current
Rms
Voltage:
RMS
Current
Rms
Line Frequency:
Single Phase
Three Phase
Other
Output:
Voltage:
RMS/DC
Current
RMS/DC
Voltage:
RMS/DC
Current
RMS/DC
Voltage:
RMS/DC
Current
RMS/DC
Voltage:
Rms/DC
Current
RMS/DC
Rectifier Type:
Filter Capacitor
Input Choke
Inductance:
Hys. @
DC:
Voltage:
Ohms:
HZ:
Insulation Resistance:
DCR:
Hipot:
VAC
VDC
Ohm Min. @
VDC between:
&
Windings:
Additional Comments:
5725 Braxton Houston, Texas 77036 | Phone : 713-977-6009 | Fax : 713-977-4091
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