Custom Product Form

Contact Name*
First Last
Business Name*
Business Address
Street Address City State ZIP Code
Business Phone*
Contact Email Address*
Preferred Quote Deadline*
MM slash DD slash YYYY
ELECTRICAL SPECIFICATIONS
Number of Inputs (1-5)*
Please enter a number from 1 to 5.
Input 1 - Voltage Range*
Input 1 - Voltage Type
Input 1 - Current (A)
Input 1 - Input Protection
Input 1 - Reverse Input Protection
Input 2 - Voltage Range*
Input 2 - Voltage Type
Input 2 - Current (A)
Input 2 - Input Protection
Input 2 - Reverse Input Protection
Input 3 - Voltage Range*
Input 3 - Voltage Type
Input 3 - Current (A)
Input 3 - Input Protection
Input 3 - Reverse Input Protection
Input 4 - Voltage Range*
Input 4 - Voltage Type
Input 4 - Current (A)
Input 4 - Input Protection
Input 4 - Reverse Input Protection
Input 5 - Voltage Range*
Input 5 - Voltage Type
Input 5 - Current (A)
Input 5 - Input Protection
Input 5 - Reverse Input Protection
Number of Outputs (1-5)*
Please enter a number from 1 to 5.
Output 1 - Voltage Range*
Output 1 - Voltage Tolerance
Output 1 - Adjustable Voltage?
Output 1 - Remote Sense?
Output 1 - Current (A)*
Output 1 - Current Max Limit
Output 1 - Output Protection
Output 1 - Ripple
Output 2 - Voltage Range*
Output 2 - Voltage Tolerance
Output 2 - Adjustable Voltage?
Output 2 - Remote Sense?
Output 2 - Current (A)*
Output 2 - Current Max Limit
Output 2 - Output Protection
Output 2 - Ripple
Output 3 - Voltage Range*
Output 3 - Voltage Tolerance
Output 3 - Adjustable Voltage?
Output 3 - Remote Sense?
Output 3 - Current (A)*
Output 3 - Current Max Limit
Output 3 - Output Protection
Output 3 - Ripple
Output 4 - Voltage Range*
Output 4 - Voltage Tolerance
Output 4 - Adjustable Voltage?
Output 4 - Remote Sense?
Output 4 - Current (A)*
Output 4 - Current Max Limit
Output 4 - Output Protection
Output 4 - Ripple
Output 5 - Voltage Range*
Output 5 - Voltage Tolerance
Output 5 - Adjustable Voltage?
Output 5 - Remote Sense?
Output 5 - Current (A)*
Output 5 - Current Max Limit
Output 5 - Output Protection
Output 5 - Ripple
Thermal Load Properties
Operating Temperture Range

Indicate C or F
Storage Temperture Range

Indicate C or F
Thermal Protection?
- Yes
- No
General Specifications
Desired Dimensions:

Length x Width x Height (inches)
Quantity Required
Preferred Prototype Deadline
MM slash DD slash YYYY
Preferred Manufacturing Deadline
MM slash DD slash YYYY
Military Standards to be Met
- MIL-STD-1399
- MIL-STD-461
- MIL-STD-704
- MIL-STD-810
- MIL-STD-1399
Additional details or notes
ITARS Compliant?
Platform/End Use

ELECTRICAL SPECIFICATIONS

Thermal Load Properties

General Specifications