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If you would like to provide more detailed information about your application requirements, please complete the form below.
* indicates required fields
*Contact Name:
Company:
*Address:
*City:
*State:
*ZIP:
*Phone (+area code and ext.):
Fax:
Email:
Website:
*Date:
*Switch Application: Please explain how the switch will be used in your application.
Sample Required: Yes No
ELECTRICAL:
Volts:
Current Type:
AC DC
Amps:
Circuit Type:
Inductive Resistive
Contacts:
Terminal Size Preference:
SPST SPDT Normally Open Normally Closed
3/16" 1/4" PCB Other"
Required Life:
SWITCHING MEDIUM:
Type:
Set Point:
Pressure Vacuum Differential
Medium:
Set Point Tolerance: (ex: ±20%)
Contaminants present: Yes No
Set on:
Increasing Pressure / Vac.Decreasing Pressure / Vac.
Desired Deadband:
Max System Pressure:
Port Configuration: (see catalog)
Input Pressure Pulsation?:
Yes No
ENVIRONMENTAL:
Temperature: °F °C
Typical Operating Temperature:
Min:
Max:
Switch (Diaphragm) Orientation:
High Vibration Environment?:
Vertical Horizontal
Humid Environment?:
Required Agency Approvals:
UL CSA FDA None
Requested Ship Date:
Estimated Annual Volume:
Target Price:
Current Supplier:
Comments:
Form number QA207.A