*Name E-mail
Telephone Fax
Company
Address
CityStateZIP Code
       
1.Please tell us more details about your product.
   What kind of product will this power supply or transformer be used in?
     
2.What input and output specification will you require?
Input VAC  Hz
Output Voltage
Output Current mA
Other electrical requirements (Please specify)
3.Mechanical requirements
Wall mount typeDesktop typeIEC typePCB typeLead-Wire type
Max. physical dimension 
LengthWidthHeightm/m
Size and type of output plug
Other electrical requirements (Please specify)
      
4.Which agency approvals do you 
   require?
5.What is the potential volume of this 
   product?
6.Do you have target price per unit? 7.Other information you wish to 
   describe
Thank you for taking the time to fill out this form. We will feedback very soon.
*Verify Code refresh