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Please quote the following item:

Customer Reference Number:

Quantity:

Agency approvals (UL, CSA, Other):

Ambient temperature:

°F   °C

Target operating temperature:

°F   °C

Starting temperature:

°F   °C

Min. finished product service temp.:

°F   °C

Max. finished product service temp.:

°F   °C

Surface area exposed to ambient temp.:

sq. in.

Electrical Requirements:

Ohms:

Wattage:

Voltage:

  AC DC

Control:

Thermostat Fuse Thermocouple

Control setpoint:

  °F   °C

Setpoint tolerance:

  °F   °C

Physical Requirements:

Size of heater:

Length of leads:

Location of leads:

How many to be heated:

Type of material to be heated:

Weight of material to be heated:

Size of object to be heated:

Area available to heat material:

sq. in.

Fastening (straps, adhesive, clips, velcro):

Cut outs (openings, holes, tabs):

Application:

Pounds per hour to be processed:

Is surface of application smooth?

Yes   No

Annual quantity:

Environment requirements (weather, chemical, other):

Notes/additional information:

Contact Information:

Name:

Company:

Email:

Street:

City:

State:

ZIP code:

Phone number:

Fax number: