Online RFQ Form
Military/Commercial Environmental
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Submit this form on-line, or you can fax it to us at
(631) 737-1497
.
Contact Information
* Required fields
Date
Name
*
Title
Company
Address
Address 2
City
State
Zip
Phone
*
Fax
E-mail
*
Web Site
Equipment Description
Brief Description
Intended Use
Power Requirements
Voltage
Frequency
Phase/Current
Dimensions
Width
Depth
Height
Weight
Applicable Documentation
Test Standard
Test Methods Required
Select All That Apply
Vibration
Humidity
Shock
Temperature Cycling
Altitude
Explosive Atmosphere
Salt Spray
Sand & Dust
Rain
Acceleration
Fungus
For vibration or shock testing requiring a fixture:
Customer will supply
Retlif will supply
Functional Checkout Required:
During test
Between tests
How long does functional checkout take?
5 min
10 min
15 min
20 min
Other
Checkout to be performed by:
Customer
Retlif
Vibration:
Frequency Range
Sweep Rate
Duration
Number of Axes
Shock:
Waveform
Duration
Number Of Axes
Shocks Per Axes
Altitude
Altitude
Temperature
Rate of Change
Duration
Temperature Cycling:
Min. Temperature
Max Temperature
Rate of Change
Duration
Other
(please specify)
Submit this form on-line, or you can fax it to us at
(631) 737-1497
.
Copyright 2005. Retlif Testing Laboratories. All rights reserved.
