Custom Cable Form

Please fill out the form below and a Philatron representative will contact you.

1. Standard Required: UL | CSA | SAE | Military | Other:
2. What is your application?
3. Voltage: Amps:
4. Single Conductor Custom Cable - Conductor AWG Size:
5. Multi Conductors Custom Cable - Same Size Conductors - Conductor AWG Size:
    Number of Conductors:
6. Multi Conductors - Different Sizes of Conductors (Composite Cable):
    a. Conductor AWG Size Number of Conductors: Color:
    b. Conductor AWG Size Number of Conductors: Color:
    c. Conductor AWG Size Number of Conductors: Color:
7. Copper Coating: Bare Copper | Tinned Copper
8. Flexibility: Solid Conductor | Medium Flexibility | Very Flexible
    Does Not Matter
9. Environment: Outdoor | Indoors Only | Fresh Water | Salt Water | Radiation
10. RFI/EMI Shielding required? Yes | No
11. Temperature Range: - High: Low:
12. Flame Resistant: Yes | No
13. Low Toxic/Low Smoke Required: Yes | No
14. Abrasion Resistant: Yes | No
15. Color - Code of Conductors: Jacket Color:
16. Other required properties: None | Other:
17. Is a drawing/sample of your cable available? Yes | No
      If 'Yes' - May we have a copy or sample? Yes | No
18. Quantity: Monthly: Yearly
19. Your Contact Information: (*Required)
      Name: Company Phone
20. Additional Notes:

If you're human leave this blank: