Transformer Request Form


Contact Information
Company *
Contact Name *
Title
Telephone *
Fax
Email *
Address
City
State
Zip
Transformer Requirements
Type PowerControlAudioCurrentChoke/InductorOther
Style LaminationToroidCut CoreFerriteOther
Input/Line Voltages *
Frequency * (Hz)
Phase *
V/A
Duty Cycle
Temperature Rise
Autoformer
Load
Secondary Voltages/Amperages
Rectification
Resistances
Inductances
Regulation
Transformer Construction Constraints
Thermal Protection
Electrostatic Shield
Insulation ClassB/155CClassH/180CClassR/220C
Mounting BracketsPC MountAngle IronEnclosureToroid
Other
Max Width
Max Length
Max Weight
Termination Lead Length
Termination Terminal Type
Other
Varnish AirDip/BakeVacuum Impregnate/Bake
Agency Approval Required?
Quantities
Date Required
Additional Information