Filter Design Worksheet

The purpose of this form is to assist in identifying the proper filter for your application. Complete as many of the items below so we can properly address your requirements.

 

*  Name: * E-mail address  
Company: * Phone number:
Address: Fax Number:
* City/State: Customer Number:
* Zip/Postal Code: * Country

ELECTRICAL SPECIFICATIONS
Type of Filter:

MECHANICAL SPECIFICATIONS
Height:  inches
Width:  inches
Length:  inches
Connector(s):
Operating Temperature Range:: from °C    to °C

PROJECT CONSIDERATIONS
Program Name:
Program Life:   months
Application:
Market:
Estimated Annual Usage:
Prototype Volume:
Prototype Lead Time:   months
Target Price:   USD
For What Quantity?

ADDITIONAL NOTES
List any additional information or requirements:
* Required Fields