HiTRON Electronics Corporation
Address : B4-11 P.O. Box 26-110 Kaohsiung Export Processing Zone Kaohsiung 806 Taiwan
Tel
Fax
E-Mail
E-Mail
Web-Site
: 886-7-8210412
: 886-7-8416917 , 886-7-8210511
: h8210511@seed.net.tw
: sales@hitron-e.com
: www.hitron-e.com

If you'd like to get in touch with us, please fill in the Custom Request Form and click the submit button,
and we will contact you as soon as possible.

All information filled out will be highly confidential and will only be used for our mail and fax
records.Neither your name nor address will be used for any other reason than for the information
and/or documentation you have requested to be sent to you.

Custom Request Form
Company Name :
Name / Dept :
Phone No :
Ext
Fax No :
E-Mail Address :
Web-site :
Please complete all applicable information. This will help us provide a fast, accurate quotation for your
custom requirement.
 
A. Input Requirement
AC :
90-132Vac 180-264Vac 90-264Vac
  50 Hz. 60 Hz.  
  EMI : EN 55022 Class A Class B
DC :
Nominal Range
  Filtering Required : Yes No
  Isolation (VDC)  
 
B. Output Requirement
Output
Voltage
Current (A)Typ.
Max.
Peak
Regulation
% Line
Load
Ripple & Noise
OVP
VO1 :
VO2 :              
VO3 :              
VO4 :              
 
C. General requirement
Continuous Output Watts :
Efficiency :
Operating Temperature :
Cooling :
Free-Air Convection Forced Air
Dimension :
L X W X H mm
  L X W X H inch
Power Density :
Watts / cubic inch
 
D: Additional Function / Special requirement
Projected Qty : Price Objective US$ :
Prototype Qty : Prototype Date :