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Use this order form for Gold Seal catalogue items, for specials that you have previously ordered or for new prototype designs.

ORDER FORM

Customer Details

Contact Name
Your full Company title
Address
Line 2
Town
City
State/Province
ZIP / Post Code
Country
Telephone
Fax
E-Mail
URL

Order Details

Your Order Reference :-

Additional Comments :-

Additional Comments :-

** Use this section if you know the Goldseal Catalog Part Numbers / specials previously made to order

Item Part No Description Quantity Price Delivery Required

** Use this section for new Custom / Prototype designs

Transformer Type

Choose one from the menu or choose one from the following :-

Toroidal PCB Saddle Clamp Universal Frame
Low Profile Encapsulated PCB Encapsulated Short Circuit Proof Lighting Transformer Control Panel
Audio Chassis Mounting Toroidal Control Panel Auto Transformer
100 Volt Line Matching Transformer Interference Suppressor Miniature Encapsulated
Mains Adaptor Switch Mode (unknown) (unknown)

Technical Details
(please provide as much information as possible)

Primary/s Voltage/s
Secondary/s Voltage/s
Secondary/s Current/s

 

Thermal cut-out type Auto Transformer Tappings
  Pri to Earth   Protection Class
Total VA Rating Regulation %   Temp Rise (deg C)
Isolation Pri to Sec Pri to Pri   Sec to Sec
Primary Impedance Primary Inductance   Pri DC Resistance
Secondary Impedance Secondary Inductance   Sec DC Resistance
Frequency Response Turns Ratio   Insulation Class
Any Relevant Tolerances Suppressor/Inductor Application

Terminations

Solder Tags Flying Leads Screw Terminals Fast on Terminals PCB Pins

Detail any special connectors to be fitted

For flying leads required,
detail preferred lead lengths or colours

   

Mechanical

 
Detail any maximum acceptable dimensions
Standard toroidal mounting kit ?
Toroidal centre in-fill type ?

Alternatively you can print this form out & fill it in by hand,

Then send it by Fax to: +44 (0)20 7635 7811


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Website last updated: September 27, 2005
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