RF Splitter/Combiner Design Assistance Worksheet

First Name*

Last Name*

Email Address*

Phone Number*

Job Type*

Company*

Company Type*

Country*

Zip or Postal Code*

Project Name

Application

Number of Ways

Operating Frequency Range

Phase

0

90

180

Type

50 Ohm

75 Ohm

Maximum Phase Unbalance

Maximum Isolation Between Parts

Maximum Amplitude Unbalance

Maximum Power Rating

Potential Volume

Package

Is this a new design?

Yes

No

Is this for replacement purposes

Yes

No

Replacement Comment

If this is for replacement purposes, please describe

Target Price (USD)

For What Quantity?

Additional Notes

(Example: temperature range, VSWR, environmental requirements, etc.)

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