Company Name*: 

Individual Name*:   Email*: 

Title: 

Telephone*:  Ext:  Fax: 

Address*: 

City*:  State*:  Zip Code*: 

1. Describe your application



2. Torque*: Start (above spring reload)  lbs   ozs   grams

     Torque*: Hold (above spring reload)  lbs   ozs   grams

3. Stroke*:  degrees of ratation,

direction of shaft rotation LH   RH, looking at shaft and where load is attached

4. Return Spring Required*:   Yes   No

Start Torque:  End Torque:   lbs   ozs   grams

5. Duty Cycle:   Continuous Duty   75% Duty   50% Duty   25% Duty

if intermittent, maximum "on" time  seconds for one cycle

6. Operating Voltage:   D.C.   A.C.    min    max 

7. Current: Actuating  amps max

8. Watts:  max

9. Ambient Temperature*:   min    max   F   C 

10. Max. solenoid size:   length   width   depth    inches   cm 

Ordering Information

Quote on following quantities*:  Prototype   Production 

Price Range per unit (Target):   @   Annual

Date this quote is required by:  

Remarks: