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Cable Assembly Quote Form [Go Back] [HOME]

Cable Assembly Quote

Name *	*
Company
Address
State
Postcode:
Country (if not Australia)
Phone *	*
Email Address *	*
Description or Part Number:
Quantity Required *	*
Information required by (date):
Connector Requirements:
End A Part Number:
End B Part Number:
If single ended cable, how should "B" side be terminated?
Strip & Tin (S&T)	Yes No
Straight Cut Off (SCO)	Yes No
Other (Please Specify)
Cable Requirements:
Cable Vendor and P/N: (If applicable)
If cable Vendor is known, is equivalent cable acceptable?	Yes No
UL # of cable: (If applicable)
Outer cable jacket material: (PUR, PVC, Other)
Outer cable jacket color: (Black, Gray, Other)
Number of conductors:
Conductor AWG:
Is the cable shielded?	Yes No
If shielded cable, what type of shield? (Foli, braided, foil & braided)
Is there a drain wire?	Yes No
If yes, where terminated?
Overall length of assembly. Determined by connector ends. Please specify units.
Does cable have any environmental requirements? (Temperature, UV, other)
Note: Please submit a drawing if available. If a single ended assembly is requested, a diagram of the wire color code illustrating the conductors and the corresponding contact position is required. Also show drain wire and shield terminations if applicable.
Attach File (100Mb Limit) Drawing or diagram if available.
Comments / Special Notes:

We thank you for giving us the opportunity to quote your cable assembly requirements.

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