Company

Contact

Address

City

State/Province

Postal Code

Phone Number

Fax Number

Quantity

"A" Length (inches)

Standard Connector

Mini-Connector

J

K

T

Print Form

Please specify appropriate information in order to receive a personal quote that will meet your general purpose probe needs. If you have any questions about the type of wire needed for your purpose, call us at 1.800.791.9874. Fax this document to 1.800.218.8345 and we will respond by phone or fax.

E-mail Address

Wire Type

Comments:

"B" Diameter (inches)

Connector Type "D"

Extention Wire

Length (feet)

Wire Guage

Junction

Exposed

Isolated

E

Coil Cable