Custom Part Request Form

ENTER YOUR CONTACT INFORMATION

*NAME
*COMPANY
PHONE
FAX
*EMAIL

ENTER SPECIFICATIONS FOR CUSTOM PART

*QUANTITY
POWER (VA)
FREQUENCY (Hz)
PRIMARY (V)
HERMETIC SEAL
(MIL-PRF-27/MIL-T-27 Grade 4)		 Yes No PRIMARY TAPS
ENCAPSULATED
(MIL-PRF-27/MIL-T-27 Grade 5		 Yes No STATIC SHIELD
OPEN FRAME
(MIL-PRF-27/MIL-T-27 Grade 6)		 Yes No MAGNETIC SHIELD
SECONDARY (V) TEMPERATURE RATING
COMMENTS/NOTES please enter other desired features and specifications  

*required fields
1995 - 20TH ANNIVERSARY - 2015