Customer Info
Company:  Contact:
Address:
City/State:  Country:
Zip Code:  Telephone:
Fax No:  Email:
Battery Charger
Type of Battery  
 
Number of Cells   
AH Rating   
Charge Time Required   
Output Voltage
Output Current
"Detail any components (diodes, polyswitch...)"
located in battery pack


 
Input Voltage Requirements
If other, please specify:
If unsure, detail destination country

Mechanical Requirements
Cases
Wall Plug-In
Desktop
Output Cordset
Polarity
Positive

Negative

Agency Standards
Commercial Medical




Specifications
Quantity Required
Date Required

 

Last updated: 09 18 06