Request For Quote ~ Domestic Cord

NOTE: When providing a length that is critical to your part, please indicate a +/- tolerance.


Overall Lgth. Of Cord:
Gauge:	(18, 16, 14, etc.)
# of conductors:
Stranding:	(16/30, 41/34 {constant service}, etc.)
Wire type:	(PVC-SJT or NEOPRENE SJO)
Jacket color:
Conductor colors:	N.A. - Black-White-Green or Green/Yellow CEE - Brown-Blue-Green/Yellow
Temperature rating:	(60 Deg. C, 105 Deg. C, etc.)

PLUG END (If two conductor cordage - please advise if Polarized or Non-Polarized)

NEMA Configuration (if known):
If NEMA Configuration is unknown, please give detailed description of the type of plug you need.

TAIL END

Please describe in detail exactly what you need done to this end of the cord. (Female connector, jacket removal length, cutbacks, strip, strip and twist, strip and tin, teminations, etc.)


AGENCY APPROVALS REQUIRED

U/L Only CSA Only U/L and CSA None

QUANTITIES TO BE QUOTED

The above quantities are: Weekly Monthly Quarterly Yearly

ADDITIONAL COMMENTS


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CONTACT INFORMATION

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