Beverly Manufacturing Request for Quotation Form

Please provide us with the following information

Name* Company Name

Address* State* Zip Code*

E-mail* Phone*

Magnetics Specification Sheet

Size* Weight* Potted or Open Coating

Mounting Misc.

Operating Ambient

Temperature Min: Max: Humidity: Min:

Approval Bodies:

UL: CSA IEC: MIL:

Inductor:

Inductance: AC Voltage and Frequency

AC Current and Frequency DC bias Current:

Maximum frequency of interest: Application

Misc: (information)