High Power Supply
Request Form

Company Name
First Name
Last Name
Address 1
Address 2
City
State Zip
Country
E-Mail Address
Telephone
Fax Number
Power Supply Type
Input Range:
AC input Phase
AC input frequency
DC input Voltage
Input Connector:
Total Output Watts
Output Type:
Output Connector
Redundancy (N+1) N =
Protection
Output Volts 1 @ Amps
Output Volts 2 @ Amps
Output Volts 3 @ Amps
Output Volts 4 @ Amps
Output Volts 5 @ Amps
Output Volts 6 @ Amps
Output Volts 7 @ Amps
Output Volts 8 @ Amps
Mechanical Size
Case Rack / Power Shelf 19" (3U)
23" (3U)
30" (3U)
Enter Below:
Case
W:
H:
L:
Total Space
W:
H:
L:
Safety Agencies UL
CSA
TUV
CE (LVD)
Other:
EMI Cond & Rad
Operating Temperature
Battery Charger AC Power Fail
DC Power Good Remote Enable/Disable
Current Sharing Isolation Diodes
Other Requirements:
Quantity required for Prototype Prototype Timing
Quantity required for Production Production Timing