POWER CORD
INQUIRY FORM

If you are seeking Custom Power Cords, complete this form and send it to our offices for a rapid price quotation. If specialized terminals are needed that cannot be adequately described in words, print this form and mail it to the address below with drawings of the terminals attached.

Contact Information

Name

Company

E-mail

Phone

Fax
  
All dimensions are specified in:  mm  in
"A" Overall Length:
"B" Plug End - Specify Plug Type:

Where no plug is required, furnish the following information:

Blunt Cut
Remove Outer Jacket(ROJ): length
Length of Conductors from Jacket
Black(Brown)
Green(Green/Yellow)
White(Blue)
Strip Conductors
Black(Brown)
Green(Green/Yellow)
White(Blue)
Twist Conductor  - Tin Conductor
Terminals Required
Describe terminal, including part numbers if available

 
"C" Other End - Specify the type of connector:

Where no plug is required, furnish the following information:

Blunt Cut
Remove Outer Jacket(ROJ): length
Length of Conductors from Jacket
Black(Brown)
Green(Green/Yellow)
White(Blue)
Strip Conductors
Black(Brown)
Green(Green/Yellow)
White(Blue)
Twist Conductor  - Tin Conductor
Terminals Required
Describe terminal, including part numbers if available

 
"D" Cordage Type
A) Wire Gauge (AWG/MM2):
B) Number of Conductors
C) Cordage Type
If "Other" then specify:
D) Amp Rating Voltage
E) Temperature Rating
If "Other" then specify:
F) Conductor Color Code:
North American -(Line/Black, Neutral/White, Ground/Green)
CEE - (Line/Brown, Neutral/Blue, Ground/Green-Yellow)
G) Jacket Color:
If "Other" then specify:
H) Shielding:
I) Projected Annual Usage:
First Year 
Second Year 
Packaging
If "Other" then specify:
 

Home / Products / Literature Request / What's NEW

Qualtek Electronics . . . . Design Solutions for Global Demands
7675 Jenther Drive  red_half_square.gif (829 bytes)  Mentor, Ohio 44060  red_half_square.gif (829 bytes) (888) 258-3468  red_half_square.gif (829 bytes)  (440) 951-3300  red_half_square.gif (829 bytes)   FAX: (440) 951-7252
E-Mail mailbox@qualtekusa.com  red_half_square.gif (829 bytes)   Web: www.qualtekusa.com
Copyright © 2007 Qualtek Electronics Corporation. All rights reserved.
Updated: September, 2007