External Power Supply Modifications And Rfq Form
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1
2Power Management
Components — North America
External Power Supply Modifications and RFQ Form
Please fill out form completely.
:
Date
SteP 1:
CoNtACt INfo
Prefix:
Phone Number:
First Name:
E-mail:
Last Name:
Address:
Title:
Company Name:
SteP 2:
Type:
c Medical (IeC/UL60601)
c Commercial (IeC/UL60950)
CertIfICAtIoN
SteP 3:
BASe UNIt INfo
Enter Manufacturer’s Part Number
:
(if known)
Style (1):
c Wall Mount
c Desktop
electrical Specifications:
c Class I
c Class II
output Voltage:
output Current:
Notes/Comments or Additional Information:
SteP 4:
AC INPUt MAINS
Fixed Pin Wall Mount:
Modular Wall Mount:
Desktop Power Supply:
Output Cord Length
:
(custom lengths available)
c USA/Japan
c USA/Japan
c 2-Pin
(Class II, IeC320 C8 Socket)
Industry Standard -
:
1.8 meters ± 20 cm (80.87”)
Input Power Cord:
c europe
c europe
m USA/Japan
c UK
c UK
Custom Length:
m europe
c Australia
c Australia
m UK
Special Options:
c roW
(IeC320 C7 two Pin AC
m Australia
Cord - 2 meters)
c ferrite Cores:
m USA/Japan
c 3-Pin
(Class I, IeC320 C14 Socket)
Special Printing/Logo on Power Supply
Input Power Cord:
m europe
:
(Customer must supply artwork)
m USA/Japan
m UK
m europe
m Australia
m UK
Special Packaging/Label
m Australia
:
(Customer must provide details)
Note: For non-USA versions, lead times and
minimum order quantities may apply.
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Parent category: Business