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Custom Cable Assembly Design Worksheet
The purpose of this form is to assist in identifying the proper elements for your custom cable assembly design. Complete as many of the items below so we can properly address your requirements.

* Indicates a mandatory field.


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

Project Name
Part Number
Application:
Potential Volume
Is a print available? Yes      No ** Bent semi-rigid cables require a print **
Cable Type (i.e. RG-316)
Length in.
Connector Type CONNECTOR #1
CONNECTOR #2
(Example: SMA plug)
Specific Part # CONNECTOR #1
CONNECTOR #2
Connector Finish CONNECTOR #1
CONNECTOR #2
(Example: Nickel, Gold)
Connector Material CONNECTOR #1
CONNECTOR #2
(Example: Brass, etc.)
Substitutes Permitted? CONNECTOR #1
Yes      No
CONNECTOR #2
Yes      No

Measurement Instructions

(Example: end to end, center to center, end to bulkhead, etc.)
Positions of Connectors
(Example: clocked, position of flat, etc.)
Frequency Requirements, if any
Label Requirements
Is this a new design?
Yes      No Is this for replacement purposes? Yes      No

If this is for replacement purposes, please describe:

What is your target price?     for what Quantity?
(NOTE: This may be different than "Volume" specified above)

List any additional information or requirements to help us develop a recommendation

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