Custom Cable Inquiry - Please fill out the following information.
(Note:  You do not have to fill out entire form to get a quotation.  If you cannot answer a question skip it.   However, the more thoroughly you fill out this form the quicker our Sales Engineers can get back to you.  Please try fill out form as thoroughly as possible)

Your Name:
Title:
Company Name:
Address1:
Address2:
City:
State:
Zip:
Country:
Phone:
FAX:
Email:
Company Website URL:

How did you hear of us?

What is your type of business?

What Industry best fits your business?

What best describes your job at your company?

Have you bought or used Philatron products before?

 Yes No

Are you currently a Philatron customer?

 Yes No
Explain the application you would like your cable to be used for:

Application:

 Hand Pulled Machine Pulled Not Applicable

Environment:

 Indoors Outdoors

Listing?

 UL  C-UL (CSA) Both Neither Dont Know

Cable Type UL:

What do you need?

 Coil Cord or Cable Assembly Straight Cord (cut)
Bulk Wire/Cable

Conductors Pairs

Number of Conductors or Pairs:

Cond. Color Code Scheme:
Are Conductor Gauges Equivalient?   Yes No

Cond. Gauge Size:

2nd Cond. Gauge Size:

3rd Cond. Gauge Size:
Preferred Insulation Material:

Copper (choose one):

 Bare      Tinned

Stranding:

Shielding:

 Overall Individual  None (no shielding required)

Type of Shielding:

 Aluminum Mylar  Braid 
Spiral None (no shielding required)

Voltage Rating:

Preferred Jacket Material:

Jacket Finish:

 Shiny Jacket      Dull Finish
Doesn't Matter  Not Applicable

Jacket Color:

Printing:

 Ink     Indent  None

If special print is required enter text here:
High Temperature Rating:
Low Temperature Rating:
Is Temperature Critical? Yes    No

Choose the type of resistance needed for your cable:

 Chemical
Water
Oil
Not Critical
Check here is special plugs are required: 

Enter type of plug:

   Molded    Assembled

Cable Diameter (O.D.)

 Cable Diameter Not critical; make most economically
Maximum Diameter
Minimum Diameter

Cord Set Length:

Coil Section - (skip if coiling is not required)
Coil Retracted Length:
Coil Extended Length:
Check here if coil straight ends are of equal length:

Straight End Length:

2nd Straight End Length:

Type of ends:

 Axial  Perpendicular
Both (mixed ends)  Not important

Coil memory/Pull Force

 Soft memory (for manual exertion)
Medium memory
Strong (extra fast retraction)
Does your cable require great flexibility (which requires more expensive insulation), or will stiffer insulation suffice, with larger coil diameter for easy pulling?
Very Flexible     or        Stiffer

Coil Diameter:

 Coil Diam Not critical; make most economically
Maximum Coil Diameter
Minimum Coil Diameter

Blunt cut or Stripping?

 Blunt Cut    Stripping
Check to strip conductors:
Check to strip jacket:
Is this quotation requested for a coiled cable which you are presently using? Yes  No
Is drawing of your cable available?  Yes  No
If so, then please email a copy to inquiry@philatron.com
Or FAX to (562) 921-5770 - Attention: Custom Sales Department

Quantity Needed:
(no commas!)

 Pieces   Feet
Please specify any other requirements or special properties not mentioned above: