Customer Info
Company: Contact:
Address:
City/State: Country:
Zip Code: Telephone:
Fax No: Email:



Power Supply
Type of Power Supply  
 
Output Voltage   
Output Current   
Max. Ripple   
Will this unit feed a voltage regulator?  


 
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