Precision Electronic Components: Potentiometer Request Forms: Technical-Information Request Form

Technical-Information Request Form

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Name (required):

Title:

Telephone No. (required): Extension: Fax No.:

E-mail Address:

Company name (required):

Part number: Drawing number:

Series: Bushing type:

Resistance taper (linear, logarithmic...):

Resistance value:

Resistance tolerance:

Shaft style (slotted, round...):

Shaft length from mounting surface:

Special requirements (switch, high life, special part markings, center tap...):

Quantity required: Date required:

Briefly describe your application:

What information do you require?

How would you like us to send your quotation?

Phone Fax E-mail

Would you like us to mail you a printed catalog?

Yes No

Mailing address, with postal code:

Precision Electronic Components Ltd.
4 Oakland Ave.
Weston, Ontario, Canada
M9M 2H8

Tel. (416) 744-8840
Fax (416) 744-6545
info@precisionelectronics.com