*Not Specified - no particular requirement defined, VP will assess and define if necessary.
**Unknown - choose if requirements are unknown and you wish VP to contact you to assist in determining the specifications.

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Details for conductors in the cable
Total number of conductors in the cable	Conductor use: all power all data some power / some data
Will all conductors have the same specifications? yes no	If no, how many different types will be needed?

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Specifics for conductor type #2
How many conductors are to be of this type?	Used for: power data
Are any of these conductors to be as twisted pairs? yes no	If yes, identify how many twisted pairs:

If yes, are any of the twisted pairs to be shielded? yes no      If yes, how many?	If yes, specify type: Need more info? Foil Foil/drain Spiral strand Braid % of shield coverage desired: (Max % for braid=95, for spiral=97, for foil=100)
Are any individual non-twisted conductors to be shielded? yes no      If yes, how many?	If yes, specify type: Need more info? Foil Foil/drain Spiral strand Braid % of shield coverage desired: (Max % for braid=95, for spiral=97, for foil=100)

Conductor Material: Need more info? copper cadmium bronze POF - Plastic Optical Fiber (data only) Other	Conductor Plating: Need more info? bare tin-plating silver-plating Other
Conductor Size / Style:
AWG           solid stranded	If stranded, choose stranding: Need more info? 7 16 19 37 strands Other  Not Specified* Unknown**
Tinsel	Tinsel Resistance: (ohms/ft)   Unknown** Tinsel Diameter: (in)  Unknown**
POF - Plastic Optical Fiber (data only)	POF Diameter (in)
Conductor Insulation: What is the difference between these materials? FEP TFE Thermoplastic Elastomers LowSmoke ZeroHalogen TPEs Vinyl Rubber Polyolefin (e.g. Polyethylene, Polypropylene) Polyvinylchloride (PVC) Polyester/CoPolyester Polymide/Alloys Not Specified* Unknown**
Insulated Conductor Diameter: (in inches)

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Specifics for conductor type #3
How many conductors are to be of this type?	Used for: power data
Are any of these conductors to be as twisted pairs? yes no	If yes, identify how many twisted pairs:

If yes, are any of the twisted pairs to be shielded? yes no      If yes, how many?	If yes, specify type: Need more info? Foil Foil/drain Spiral strand Braid % of shield coverage desired: (Max % for braid=95, for spiral=97, for foil=100)
Are any individual non-twisted conductors to be shielded? yes no      If yes, how many?	If yes, specify type: Need more info? Foil Foil/drain Spiral strand Braid % of shield coverage desired: (Max % for braid=95, for spiral=97, for foil=100)

Conductor Material: Need more info? copper cadmium bronze POF - Plastic Optical Fiber (data only) Other	Conductor Plating: Need more info? bare tin-plating silver-plating Other
Conductor Size / Style:
AWG           solid stranded	If stranded, choose stranding: Need more info? 7 16 19 37 strands Other  Not Specified* Unknown**
Tinsel	Tinsel Resistance: (ohms/ft)   Unknown** Tinsel Diameter: (in)  Unknown**
POF - Plastic Optical Fiber (data only)	POF Diameter (in)
Conductor Insulation: What is the difference between these materials? FEP TFE Thermoplastic Elastomers LowSmoke ZeroHalogen TPEs Vinyl Rubber Polyolefin (e.g. Polyethylene, Polypropylene) Polyvinylchloride (PVC) Polyester/CoPolyester Polymide/Alloys Not Specified* Unknown**
Insulated Conductor Diameter: (in inches)

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If more than three conductor types/groups needed, please contact us for assitance.

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All Conductors
Continuous service temperature for insulated conductors: (ºC) 80 90 105 125 150200 Not Specified* Unknown**	Flammability rating for insulation: UL94HB V2 V0 5V Not Specified* Unknown**
Conductor Insulation Colors: Standard colors: Black Red White Green Orange Blue Brown Yellow Violet Grey Additional colors requested: Let VP select colors

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Details on Shielding for Cable
Is overall shielding required? yes no	If yes, specify type: Need more info? Foil Spiral strand Braid Spiral over foil Braid over foil Foil/drain If foil/drain, choose drain wire AWG: 28 26 24 22 20 % of shield coverage desired: (Max % for braid=95, for spiral=97, for foil=100)

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Details for Cable Jacket Material
Is separator needed between conductors and jacket? yes no	If yes, specify type: Polyester Paper Other Not Specified* Unknown**
Outer Jacket Material: What is the difference between these materials? FEP Thermoplastic Elastomers Urethanes LowSmoke ZeroHalogen TPEs Vinyl Rubber Polyolefin Polyvinylchloride (PVC) Polyester/CoPolyester Polymide/Alloys Other Not Specified* Unknown**
Color of outer jacket: Black Grey Off-White White Other
Flammability rating of cable: Need more info? HB VW-1 FAR 26 Other Not Specified* Unknown**	Smoke Density rating: Need more info? Low Smoke Other Not Specified* Unknown**
Halogen rating under flammability testing: Need more info? ZeroHalogen Halogen Containing Not Specified* Unknown**
UL recognition preferred: Need more info? yes no	UL style requested: Need more info?      Unknown**

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Details on Overall Cable Properties
Cable OD requested: (in) or Cable Width x Height requested: X (in)
Cable Flex Life preferred: (life cycles) 50K 100K 250K 1 Million 2.5 Million 5 Million Other Not Specified* Unknown**	Type of Flex Life test: Need more info? Weighted Bend Bend Rolling Bend Not Specified* Unknown**
Cable Impedance Zø, if specified (ohms)	Frequency desired for Zø rating (Hz)
Jacket Voltage Withstand: 30V 150V 300V 1000V 2000V Not Specified* Unknown**
Will cable be subject to the following environments? Extreme low temperature -55 ºC Extreme high temperature +200 ºC Sunlight or UV Salt water/spray Water High humidity Other
Will cable be exposed to following chemicals? Need more info? Acids Alcohols Aliphatic Hydrocarbons Alkalis Aromatic Hydrocarbons Oils Other

*Not Specified - no particular requirement defined, VP will assess and define if necessary.
**Unknown - choose if requirements are unknown and you wish VP to contact you to assist in determining the specifications.

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Additional Comments or Specifications

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End application type: Medical Military/Defense Naval/marine/shipboard/undersea Aeronautical/Avionics Hybrid Instrumentation Industrial Other
What would you like us to do with this information? Design Validation Budgetary Estimate Quotation Would you like a protype? yes no     Prototype Qty: (ft)
Min Production Qty desired: (ft)	Max Production Qty desired: (ft)

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Contact Information
Company Name: Contact Person: Phone: Fax: Email Address:	Street/PO Box: City: State: Country: Preferred Conact Method: Phone Fax Email
	rev: 01.24.05

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