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Requesting a Special/Custom DC-DC Converter Form

Requesting A Special/Custom DC-DC Converter

Input:

Input Voltage

Input Voltage:
Volts

Input Voltage Range:
Volts to
Volts

Output:

Output Voltages

Output 1:
Volts

Output 2:
Volts

Output 3:
Volts

Output Currents:

Maximum Output Currents

Output 1:
Amps

Output 2:
Amps

Output 3:
Amps

Isolation:

Does the converter require I/O isolation?

Require I/O isolation?
Yes
No

What isolation voltage?
Volts
DC
AC

Footprint:

Package/Footprint

Available Area
Inches

Require a heatsink?
Yes
No

Special Features: Application Info:

Application Information

Your company main business

Program/product in which this power converter will be used

Estimated annual usage (EAU)
Units/Year

Estimated years of usage
Years

Target price per unit in volume ($)
Dollars

Requested delivery date
for samples
Month
Year

Requested availability date
for production quantities
Month
Year

Comments/Feedback

Comments

Contact Information

*Name:

Title:

*Company:

*Email:

*Phone Number: ext

*Street:

Street 2:

Mailstop:

*City:

*ZIP/Post Code:

*Country:

Add me to Mailing List: