Custom Cable Manufacturing Request Form

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

Name:  Title:
Company: Phone:
Email: FAX:
Custom Cable Description:

1.  What is your Application?

2.  Standard Required:  UL  CSA SAE MILITARY:
                Other:

3.  Voltage: Amps:

4.  Single Conductor Custom Cable - Conductor AWG Size:

5.  Multi-Conductors Custom Cable - Same Size Conductors - Conductor AWG Size: No. of Conductors:

6.  Multi-Conductors - Different Sizes of Conductors (Composite Cable):
    a.  Conductor AWG Size: Number of Conductors:
    b.  Conductor AWG Size: Number of Conductors:
    c.  Conductor AWG Size: Number of Conductors:

7.  Copper Coating:  Bare Copper   Tinned Copper (A) (Cost more)

8.  Flexibility - Solid Conductor    Medium Flexibility    Very Flexible

9.  Temperature Range - High:   Low: 

10.  Environment:  Outdoor   Indoors Only    Submersible Water   Undersea Water   Radiation

11.  RFI/EMI shielding required?  No Yes

12.  Diameter Size:  Does not matter    Minimum:  Maximum:

13.  Flame Resistant:  YES NO

14.  Halogen Free - Low Toxic/Low Smoke Required: NO YES (More Costly)

15.  Abrasion Resistant:   YES NO

16.  Color:  Code of Conductors:  Jacket Color: BLACK GREY WHITE RED YELLOW BLUE BEIGE OTHER

17.  Other required properties:  None         Other:

18.  Is a drawing/sample of your cable available?  YES NO   If Yes -  May we have copy or sample?  YES NO

19.  Quantity:   Monthly:   Yearly:

20.  Your Philatron Contact: