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  BUDGETARY CONNECTOR QUOTE REQUEST FORM

 
Name:
Company:
Address:
Address:
City:
State:
Zip:
Phone:
Fax:
e-mail:
 
Please provide specifications for the connector type you require:

T-Type
T-Type Connector

  Length:
Height:
Width:
Pitch:

Quantity (25K pcs min.):
Your Part Number:

TS-Type
TS-Type Connector

  Length:
Height:
Width:
Width1:
Pitch:

Quantity (25K pcs min.):
Your Part Number:

TG-Type
TG-Type Connector

  Length:
Height:
Width:
Width1:
Pitch:

Quantity (25K pcs min.):
Your Part Number:

TB-Type
TB-Type

  
Length:
Height:
Width:
Pitch:

Quantity (25K pcs min.):
Your Part Number:

IR-Type
IR-Type

  
Length:
Height:
Width:

Tape (Adhesive or Mylar):
Quantity (25K pcs min.):
Your Part Number:

 
	Please provide a brief description of your application:
	

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