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Custom Model Quote Request

If any item does not apply, please leave it blank.

If you have any specific requirements or questions please contact: Robert Garvey at: toll free: 888-244-6638 -or- Direct -(734)-792-9618.

Company Name (Required):


City: State: Zip/Postal Code:

Engineering Contact:(Required)


E-mail address (Required):

Telephone number:
Fax number:

Purchasing Contact:


E-mail address:

Telephone number:
Fax number:

Electrical Requirements:


Frequency Range:

Slope Response (please check desired type):

Parabolic (maximum allowable band edge insertion loss):

    Low Frequency:
    High Frequency:
    Center Frequency:
    Desired Attenuation:

Negative Slope
Positive Slope

Desired low frequency insertion loss:
Desired high frequency insertion loss:


    Number of tuners desired:
    Amount of attenuation per tuner:
    Bandwidth of each tuner:
    (This is measured @ 1/2 value of the maximum attenuation)

    Other (Describe)

    Amount of Adjustability:
    VSWR Limits:
    Power Requirements:

    Linearity or maximum allowable deviation from a nominal curve:

    Test Data Requirements:

Mechanical Requirements:

Mechanical Size:

Connector Type:

Connector Sex:

Mounting Holes Required:

Number & Size:

Marking Requirements:

Environmental Requirements:

Operating Temperature Range:

Sealing Requirements:

Other Requirements:

Other Information:

Program Name:

Part Number/Drawing Number:

Number of Units Required (* required field - numeric):

Delivery Requirements: