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Customer Connector Specifications

Please complete & submit this form, Fields marked with * are required. We will study your requirements and offer you our best solution.  Thank you for considering our standard or custom products for your applications.

*Company

Date:

*Street:

Job Ref No:

*Suite / Dept / M_Stop

Job Title:

*City

*Tel No:

*State / Zip

*Fax No:

*Country

*Email :

*Your Full Name:

*Website

Annual Usage:

Target Price

*Estm. Buy Date

Current Source

Current Brand

Current Part No

New Application

Yes   No 

Application Life

  (Years)

*Eng Name

*Buyer’s Name

*Buyer’s Tel No:

*Eng’s Tel No:

Is a drawing / data-sheet / sample / prototype available ? Which   

How did you find our company / web site :   Are you an existing Customer?     Yes   No

Connector Style

Conn Application 

Contact Sex

Contact Count 

Temp Hi  Lo

Contact Type

Contact Orientation 

Strain Relief Type

Voltage
AC   DC 

Amps   Hz 

Conn. Mtg Style

Cable Jacket Dia

PCB Type

Coax Conn. Specs

Zc: VSWR

Shell Plating 

Cont.Plat:

Remarks

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Disclaimer: Alpha Products, Inc. makes no warranties, expressed or implied, including warranties of merchant ability or fitness /suitability for a particular purpose or application. Under no circumstances shall Alpha Products, Inc. be liable for incidental, consequential, or other damages from alleged negligence, breach of warranty, strict liability, tort, contract, or any other theory, arising out of the use, non use, or handling of these products. Unauthorized duplication / downloading forbidden by US. Laws - Alpha Products Inc.

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