| You have selected to receive a FREE Self-Hold thermostat sample. Please answer applicable questions so that we can provide the best service to you. |
| Name: |
|
|
| Title: |
|
|
| Company: |
|
|
| Address: |
|
|
| Address 2: (optional) |
|
|
| City: |
|
|
| State: |
|
|
| Zip: |
|
|
| Country: |
|
|
| Telephone: |
|
|
| Fax: |
|
|
| Email: |
|
|
|
| Select Self-Hold Sample |
|
|
|
Sample Quantity:
|
|
(Thermtrol reserves the right to limit sample
quantitites)
|
|
Applied Voltage: |
|
|
|
| Low Resistance Opening Temperature Options: |
|
|
| High Resistance Opening Temperature Options: |
|
|
| Terminal Configuration Choice: |
|
A Style- Terminals on same end
B Style- Terminals on opposite ends |
| Application: |
|
|
| Current/Amperage: |
|
|
| |
|
Resistive:
Inductive: |
|
Electrical Requirements: |
|
AC
DC
|
| Please advise the estimated annual usage for this application: |
|
|
| |
|
|
| Note: Samples will be produced with 6" long, #18 gauge, XLPE 125C (UL3173) leads. Thermtrol will also apply appropriate insulation (Mylar or Nomex) to electrically isolate the protector body. If these materials are not acceptable, please use the comments box to specify your requirements. |
| |
|
|
| Comments: |
|
|
| |
Remember my contact information |
| |
|
|