Quote Form
Company:
Contact Person:
Address:
City:
State:
Country:
Phone:
Fax:
Email:

Provide Quote On:

Feet:   Meters:   Pieces/Coils:
Estimated Annual Usage:

Describe Application and/or Usage:
Specifications
Conductors
Number of Conductors:
AWG:
Stranding:
Strand Lay:
Other/Not Sure:
Conductor Material: Copper  Alloy  Tinsel
Other/Not Sure:
Plating: Bare  Tin  Silver  Nickel  Other
Primary Objective: Cost  Flexibility  Capacitance

If unsure, please describe application:
Insulation

PVC  Polyethylene  FEP  Nylon  TPR  Polypropylene
Tefzel  Polyurethane  Flame Retardant  Non-Halogenated
Other/Not Sure:
Conductor Identity: Color  Stripe
Other:
List Colors if Desired:
Wall Thickness: +/-
OD: +/-
Internal Construction
Groups

Pairs  Triads  Lay Length  Drain Wire  RHL   LHL
Other:
Shield/s on: None

Single Conductors:  Pairs:  Triads:
If yes: Braid  Spiral
Other:
Material:
Wrap: None

Single Conductors:  Pairs:   Triads:
If yes: Paper  Aluminum  Mylar
Other:
Direction:
Coverage:
Secondary Insulation on singles or groups?  Yes   No
Overall Cable

Drain Wire  RHL  LHL  Lay Length  Fillers  Tiecord
List Material:
Other:
Shield: None  Spiral  Braid
List Material:
Other:
Wrap: None  Paper  Aluminum  Mylar
Other:
Direction:
Coverage:
Jacket

PVC  Polyethylene  FEP  Nylon  TPR  Polypropylene
Tefzel  Polyurethane  Flame Retardant  Non-Halogenated
Other/Not Sure:
Wall Thickness: +/-
OD: +/-
Color:
Print:
Coil Cord
Coil Length:
Extended Length:
Tail Length:
ID:
OD:
Standards/Ratings
Voltage:
UL:
CSA:
Mil:
Other:
Shipping Requirements

Minimum Length Requirements:

Special Packaging:

Notes/Other Information:

 

 

20 Central Street  •  Brookfield, MA 01506-0298
Telephone: 508-867-6476  •  Fax: 508-867-5126  •  Email: sales@gavitt.com