Filter Design Assistance Worksheet

Please complete as many of the items below so we can properly address your filter requirements.

First Name*

Last Name*

Email Address*

Phone Number*

Job Type*

Company*

Company Type*

Country*

Zip or Postal Code*

Electrical Specifications

Type of Filter

Mechanical Specifications

Height (in)

Width (in)

Length (in)

Connector(s)

Operating Temperature Range:

Min (°C)

Max (°C)

Project Considerations

Program Name

Program Life (months)

Application

Market

Estimated Annual Usage

Prototype Volume

Prototype Lead Time (months)

Target Price (USD)

For What Quantity?

Additional Notes

Agree*

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