Name: 
Organization: 
Address: 
City: 
State/Province: 
Country: 
Zip Code: 
Phone 
Fax: 
Email: 
   

Option 2.....  Specify Measurement & Control Instrumentation

Electrical Parameter:
*Select the parameter to be measured or controlled by checking the appropriate box
AC Current DC Current Bi-directional Current
AC Voltage DC Voltage
AC Power Frequency
*In the spaces below indicate required performance

Input Range........................

Example: 0 to 50mAdc…..0 to 120Vac…..0 to 750Vdc…..360 to 440Hz…..

Input Frequency.................

Example: 50 to 60Hz…..DC to 3.5KHz…..380 to 420Hz…..DC to 100KHz

Output Signal.....................

Example: 0 to 5Vdc…..4 to 20mAdc…..0 to 1mAdc…..Relay or Switch

Output Accuracy.................

Example: 1%Full-Scale.…..0.5%FS @  23 deg C…..20% of trip point

Output Response Time.......

Example: 50milli-sec (10-90%)…..100 micro-sec…..400milli-sec…..1 micro-sec

Operating Temperature.....

Example: -20 to +70deg C…..-40 to +85deg C…..-55 to +85deg C

Power Requirements.........

Example: +24 to +32Vdc…..120Vac…..Loop Powered…..+15 & -15Vdc

Connection Requirements..

Example: Terminal Block…..Connector…..Solder Header…..Bus-Bar

Mounting Requirements.....

Example: Base Plate…..PC Board…..Clamp-on…..Split Core

Other Requirements...........

Example: Shock 50g’s……Vibration…….DO-160 requirements

Current Input Opening........

Example: 3/8 inch dia……1+1/2 inch dia…….0.25 x 0.85 inch bus-bar

If the electrical parameter selected requires a current input, then specify the size of the opening needed to accept the current carrying wire or bus-bar.
AC Power Phase................

Example: 1-Phase (2 wire)……3-Phase (3 wire)…….3-Phase (4 wire)

If the electrical parameter is AC Power, then specify the type of power system that will be monitored.
Application & Quantity
Please describe the product application & quantity needed.  Plus, any other information.