Contact Name * Company * Country Phone * Fax E-mail Program Forecast Reference Numbers MIL-Spec Part Number Filter Requirements Filter Type (Pi, C, T, MOV, Other) Capacitance (Locations) Capacitance (Locations) Frequency (MHz) Insertion Loss (dB) 1 3 10 30 100 Working Voltage (VDC or VAC and Frequency) Dielectric Withstand Voltage (VDC) Filter Contacts (Locations) Ground Contact (Locations) Insulated feed-thru (Locations) Modified Shell: (Flange shell, clinch nuts, heilicoils, stand offs, etc.) Special Requirements: (AC voltage, spike voltage, attenuation testing etc.) What type of contact termination are you requiring? Crimp Solder Cup Wire Wrap PCB Tail (If you select Wire Wrap or PCB tail contacts, please provide the dimension in the next question, otherwise skip) Flat or Diameter Dimensions Stickout Dimensions Do you require Pre-tin contacts? Yes No What is terminated to the connector (i.e., flex, rigid flex, PCB, etc.) Special cleaning (If so, we recommend a protective cap with an environmental gasket.) Any additional information
