Custom Cable Assembly Design Assistance Worksheet

First Name*

Last Name*

Email Address*

Phone Number*

Job Type*

Company*

Company Type*

Country*

Zip or Postal Code*

Project Name

Part Number

Application

Potential Volume

Is a print available?

Yes

No

(Bent semi-rigid cables require a print)

Cable Type

(i.e. RG-316)

Connector #1

Connector #2

(1) Connector Type

(i.e. SMA plug)

(2) Connector Type

(i.e. SMA plug)

(1) Specific Part Number

(2) Specific Part Number

(1) Connector Finish

(i.e. Nickel, Gold)

(2) Connector Finish

(i.e. Nickel, Gold)

(1) Connector Material

(i.e. Brass)

(2) Connector Material

(i.e. Brass)

(1) Substitutes Permitted?

Yes

No

(2) Substitutes Permitted?

Yes

No

Measurement Instructions

(i.e. end to end, center to center, end to bulkhead, etc.)

Position of Connectors

(i.e. clocked, position of flat, etc.)

Frequency Requirements (if any)

Label Requirements

Is this a new design?

Yes

No

Is this for replacement purposes?

Yes

No

If this is for a replacement, please describe

Target Price (USD)

For What Quantity?

Additional Notes

Agree*

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