Custom Coil Manufacturing Request Form

QUICK QUOTE! A PHILATRON REP. WILL CONTACT YOU WITHIN 24 HOURS

Name: Title:
Company: Phone: 
Email: FAX:

DIMENSIONAL REQUIREMENTS (specify ft. or in.)
1.  Extended Working Length of coiled section, not including ends: 2.  Retracted Length (See C):
Not critical:   make most economically
Minimum Retracted Length: Maximum Retracted Length:
3.  Coil Diameter (See B)
  Not critical; make most economically.
(Note:  the larger the coil diameter, the lower the pull force)
Maximum coil diameter:
4.  Cable Diameter (See D)
  Not critical make most economically.
Minimum Diameter-   Maximum Diameter-
5.  Lead Type Left
    Right Angle		    Axial (costs more) 6.  Lead Type Right
   Right Angle		 Axial (costs more)
7.  Lead Length (See A and E)

Left Side-  Right Side-

 8.  Jacket Stripping
None, cut blunt?                    Jacket Only 
Left Side A:                        Right Side:  E:

FUNCTIONAL REQUIREMENTS
9.  What is your application?


 

 10.  Copper gauge size(s):
  a.  Gauge No. of Cond.
    Colors:
  b.  Gauge No. of Cond.
    Colors:
  c.  Gauge No. of Cond.
    Colors:
11.  Voltage:  Amperage: 12.  Copper: Bare    Tinned (for soldering)
13.  RFI/EMI shielding required?  (See E)  14.  Jacket Color:
15.  Environment:
  Outdoors                            Indoors		 16. Temperature:
  Not Critical   High--        Low--
17.  Does your cable require oil and chemical resistance?  18.  Pull Force
        Soft memory (for manual exertion)
        Strong memory (extra fast retraction)
19.  Does your coil require great flexibility (which requires more expensive insulation), or will stiffer insulation suffice, with a larger coil diameter for easy pulling? 20.  Does your cable have other unusual required properties?

21.  Is this quotation requested for a coiled cable which you are presently using?

If yes, may we have a sample? 

22.  Is a drawing/sample of your coiled cable available?

If yes, may we have a copy?
23.  Estimated usage Quantity:  Monthly:      Yearly: 

  Name of Your Philatron Contact: 

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