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Contact Information

Name*

Title

Company*

Address*

Address 2

City*

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Zip*

Country

Phone*

Fax

Email*

Web Site

Requested Services

Test Sample Information

Test Sample Name

Brief Description of Product

Power Requirements

Input Voltage(s)

Input Frequency

50 Hz
60 Hz
400 Hz
800 Hz
N/A
DC
Other

If other frequency, please specify

Input Current

Dimensions

Width (Inches)

Depth (Inches)

Height (Inches)

Weight (pounds)

In addition to Power how many interconnecting ports (connectors) are on the test sample?

FCC/CE - Highest Clock or processor frequency used in the Test Sample (please specify Hz, kHz, MHz, GHz)

Intentional Radiator (Transmitters)

Does the product have a transmitter (wifi, bluetooth, etc…)

Yes
No

If Yes, does this radio carry the certifications for the country where it will be used?

Yes
No

Time Frame

When do you require this quotation?

What is the expected time frame for testing?

Test Standard(s)

Test Standards (if known)

Please advise me of recommended test methods

Yes
No, I will provide a list of requested test methods

Upload document (if applicable)

Max. file size: 3 MB.

Typical documents which may be uploaded include Test Procedures, Product Specifications Sheets, Marketing information, Manuals, SOW

Additional Information\Notes:

Preferred Testing Location

Location*

EMC/EMI

ESS/Environmental

Engineering

Composites

Compliance