QUESTIONNAIRE

NOTE: this form cannot be submitted without filling fields marked by *

* Name

Title

* Company

* E-mail

* Telephone

Mobile

Fax

Address

City

State

ZIP Code


Yes, I am interested in:

Receiving more information

Contacting a cable specialist

Attention: We have an
acute cable problem!
Please respond
promptly.

 

Application of the cable:

Other (specify below)

What area are you involved in:

Other (specify below)

Important cable specifications:

 

High

Medium

Low

Flex-life (continuous flex)

Bending radius (multiples of cable diameter)

<3d

<5d

>5d

Torquing

Tensile-/Compression Strength

 

 

Yes

No

Abrasion resistance

Chemical resistance

Flame resistance

Halogen-free

Temperature
From: To:     C F

Other Comments: