Customer Request Sheet

CUSTOMER INFORMATION

(*)Marked fields are minimum required
	Please add as much information and data as available to speed our process.

*Company Name:	Website:	Main Phone #:

Customer Address

Ship to Address

same as customer address

TECHNICAL DETAILS

	Three Phase Transformer		Single Phase Transformer		Low Frequency Inductor		High Frequency Inductor		Ferro-Resonant Transformer
	Current Transformer		Common Mode Choke		High Frequency Switching Transformer		Signal Transformer		Special

Precision P/N:
Part Description Per Customer:

Customer P/N:	Cust. Rev.:	OEM:	OEM P/N:	OEM Rev.:

Agency Requirements

UL:

IEC:

Mil. Spec:

RoHS

DOD

ITAR

NDA

PROJECT PROFILE

What stage are you at in the project?		Project Name:		What is the application?
Est. Production Start Date:		EAU:		Company's Main End Product:

Purpose of Quote:		Quote Need by Date:
Purpose of Proto:		Proto Need by Date:

Who makes the sourcing decision for full production?

Where will production take place?

Domestic:

Offshore:

	Campaign:	Explain Campaign:
How did you hear about Precision?

Additional Comments: