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:
  
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Precision Electronics Corporation
70 Bartor Road,
North York, Ontario, Canada
M9M 2G5		Tel. (416) 744-8840
Fax (416) 744-6545
info@precisionelectronics.com