Product Guide

For a quotation, please complete the following:
Name:
*Last Name:
Title:
*Company:
Address:
City:	State:
Zip Code:	Country:
Phone:
Fax:
*E-mail:
Please quote:
Qty:	Standard P/N:
Application:
Timing: Prototype:	Production:
Target Price:

Customized Unit

I do not see a standard part which meets my needs. Please quote me on the following

custom unit:

Input Voltage: AC or DC

	Current
Output #1	Min.	Max.	Peak	%
Output #2	Min.	Max.	Peak	%
Output #3	Min.	Max.	Peak	%
Output #4	Min.	Max.	Peak	%
Output #5	Min.	Max.	Peak	%
Output #6	Min.	Max.	Peak	%

Please quote:
Qty:	Standard P/N:
Application:
Timing: Prototype:	Production:
Target Price:
Total Power: Continuous:	Peak:/Duration:
Temperature Range: Operating:	Storage:
Efficiency:	% Ripple/Noise:
Isolation:	Mechanical Size:
Mechanical:	Open Frame Enclosed Rack Mount Desktop PCB Mountable Other
Agency Approvals Required:
Target Price:
Other Considerations/ Features Required:

.
If you have any questions or comments, please type them in below:

                                                                            ETA-USA
                                                                            16170 Vineyard Blvd. Suite 180
                                                                            Morgan Hill, CA 95037
                                                                            USA
                                                                            Toll-free (US only): 800-ETA-POWR (800-382-7697)
                                                                            Telephone: 408-778-2793
                                                                            FAX: 408-779-2753


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