Integrated Power Solutions

Power Supply Quotation Request Form

Name        Project Name         
Company     Date Required        
Address     Quotation Quantity   
City                Prototypes Needed By 
State               Unit Price Goal      
Zip     
Phone   
FAX     
E-mail  






AC DC Input Voltage Range 
   Output Voltage #1  Output Current #1 
   Output Voltage #2  Output Current #2 
   Output Voltage #3  Output Current #3 

Operating Temperature Range: 
-10 to +85 Deg.C
-25 to +85 Deg.C
-40 to +85 Deg.C
-55 to +85 Deg.C
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-10 to +85 Deg.C
Desired Cooling Method: 
Convection
Conduction
Fan
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Convection
Mounting Style: 
DIN Rail

Rugged Mount
Circuit Board Only
Rack Mount
VDE Card
Chassis Mount
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Rack Mount
Size and Features:
Maximum Size:
Connector Type:
Displays:
Power Factor Correction:
Agency Approvals:</FONT></B></FONT></B></FONT></B></FONT></B></FONT></B>

Integrated Power Solutions Inc.
749 Miner Rd.
Highland Heights, Ohio 44143
Tel: (440) 461-9352
Fax: (440) 461-9359
email: ips@nacs.net
© 1998 Integrated Power Solutions Inc. All rights reserved.