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Power Supply Needs Assessment Form
Design Your Own Custom Power Supply

Please fill out the following form as much as possible then press submit. We will contact you with product selection and cost options.

Questions? Call 800-891-0685

1. Is this for medical application? Yes No

2. Is this a battery charger or power supply?

Battery
What type? Lead Acid NiMH/NiCd Lithium Ion

# of cells or capacity # (A-HR):

Power Supply
Voltage: 3 5 6 7½ 9 12 15 18 24 48

Power (Watts) or Current (Amps):

3. What type of package?

Fixed pin wall mount
Country version: U.S. U.K. Euro I-EC All

Modular
Country/cable version: U.S. U.K. Euro I-EC All

Desktop Type
Input type: 3-pin AC 2-pin AC

4. What type of output connector?

Universal Barrel Jack
5 OMR outside diameter per DIN 45323
Contact for others, including Switchcraft, Barrell Jack, Coax Plugs, Phone connector, etc.

Company*
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State/Prov*
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* all fields are required

Date: 6/5/2005


Thank you - we will reply to your request within 24 hours.
If you don't receive a reply, please call 800-891-0685.

 
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