Custom Applications - Time Delay Relays - Solid State Relays - Timing Controls Single Shot Time Delays - Vending Controls

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Custom Applications

time delay relays

vending controls

phase/speed controls

current sensor modules

flashers

liquid level controls

alternating duplex

Application Information Form

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Please take a moment to complete all information below to ensure timely and accurate service.

* - Required Field

* Company * Name * Address 1 Address 2

* City

* State

* Postal Code

* Country (If United States, State is required) * Phone Fax * Email

1. Function

1.1 Mode of Operation

1.2 Time Delay

1.2.1 Delay #1 MIN /MAX TOLERANCE +/-

1.2.2 Delay #2 MIN /MAX TOLERANCE +/-

2. Input Power

2.1 Nominal Voltage Other

2.2 Tolerance

2.3 Frequency (Hz) Power Source Other

If your selection is AC Line or AC Power Supply

2.4 DC Type Other

3. Output

3.1 Type Other

3.2 Form Other If SPST Specify

3.3 Load Rating Other or Multiple

3.4 Type of Load Other or Multiple @ Volts

4. Environmental Conditions

4.1 Environmental Conditions

5. Package Style

5.1 Package Style Other

Encapsulation

6. Termination Preference

Termination Preference Other

7. Potential

7.1 Prototype Requirements pieces Date Required

7.2 Pre-Production Requirements pieces Date Required

7.3 Production - Estimated Annual Usage Price Objective(s) Date Required

8. Required Agency Approvals

Required Agency Approvals Other or Multiple

9. Other Information

Other Information (2,000 Characters Max) * Captcha