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Custom Specifications Form

Please provide the following information so that Product design is performed matching to your exact specifications. Thank You

Contact Information

First Name: *

Please enter firstname.

Last Name: *

Please enter lastname.

Title: *

Please enter title.

Company: *

Please enter company.

Email: *

Please enter email.

Phone: *

Please enter phone.

Address Line1: *

Please enter address.

Address Line2:

Please enter address

City: *

Please enter city.

State: *

Zip Code: *

Please enter valid zip code.

Country: *

Application:

Please enter Application.

Quantity Req: *

Please enter quantity.

EAU: *

Please enter valid EAU.

Price(USD):

Please enter exact amount.

Specifications

Primary1: *

Please enter voltage.

Primary2:

Please enter voltage.

Output Type:

Primary3

Please enter voltage

Secondary1: *

** Filter

Secondary2:

** Filter

Secondary3:

** Filter

*FWB = Full Wave Bridge, FWCT = Full wave center tap, DCR = Dual Complimentary
*Filter: C = Capacitor Input, L = Inductor Input

Frequency:

Hipot:

Ambient Temp°C:

Insulation Class:

Mounting:

Termination:

Please Describe:

Size Required:

Units:

Safety Approval Required:

Upload File/Document:

Valid Formats: .jpg, .jpeg, .png, .pdf, .doc, .docx

Additional Comments:

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Specifications

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