Please Print, Complete and Fax to us at at 01488 685430 
End "A"
Connector Type . No. of Ways .
Hood Type: Plastic . Colour .
Metalised . Di-Cast .
Entry: Straight .

45°

 .

90°

 .
 
End "B"
Connector Type . No. of Ways .
Hood Type: Plastic . Colour .
Metalised . Di-Cast .
Entry: Straight .

45°

 .

90°

 .
 
Cable
Conductor Size . eg. 24 AWG 7/0.1
Multiconductor:

or

 Multipair .
No. of Connectors:

 or

 No. of Pairs .
Screen: Overall Braid: .

None:

 .
Overall Foil: .

Individual Foil:

 .
Colour: . .

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Quote            
Quantity . Delivery .

 

Wiring Configuration
Please Specify : eg. pin 1 to pin 1

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Sketch
Please Specify  the assembly length, tolerance and the point from which measured

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Tell us how to get in touch with you:

Company Name .. Position .
Contact Name . E-Mail .
Tel: No . Fax No. .