QUESTIONNAIRE

NOTE: this form cannot be submitted without filling fields marked by *
* Name

Title

* Company

* E-mail

* Telephone

Mobile

Fax

Address

City

State

ZIP Code


Yes, I am interested in:

Receiving more information
Contacting a cable specialist
Attention: We have an
acute cable problem!
Please respond promptly.
 

Application of the cable:

Other (specify below)

What area are you involved in:

Other (specify below)

Important cable specifications:
 
High
Medium
Low
Flex-life (continuous flex)
Bending radius (multiples of cable diameter) <3d
<5d
>5d
Torquing
Tensile-/Compression Strength

 
Yes
No
Abrasion resistance
Chemical resistance
Flame resistance
Halogen-free

Temperature
From: To:     °C °F

Other Comments: