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Splitters and Combiners Design Worksheet
The purpose of this form is to assist in identifying the proper splitter and or combiner for your application. 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
Application
Number of Ways * Operating Frequency Range
Phase 0
90
180
Type 50 ohm
75 ohm
Maximum Phase Unbalance Maximum Isolation Between Parts
Maximum Amplitude Unbalance Maximum Power Rating
Potential Volume Package
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?

List other requirements to help us develop a product recommendation

(for example temperature range, VSWR, environmental requirements)
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