Inquiry Form

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Inquiry Form

1.CUSTOMER DATA
NAME:
TITLE:
COMPANY:
PHONE:
FAX:
E-MAIL:
ADDRESS:
COUNTRY:
ZIP CODE:
HOME PAGE:

2.SPECIFICATION

ELECTRICAL REQUIREMENTS

INPUT VOLAGE

~ VAC/ HZ

ITEM	V1	V2	V3	V4
RATE OUTPUT VOLTAGE
POLARITY
RATE OUTPUT CURRENT
MINI OUTPUT CURRENT
TOLERANCE
OUTPUT POWER

MECINCAL

I/P PLUG TYPE:

WALL PLUG DESKTOP OTHERS

O/P PLUG TYPE:

2.1 x 5.5 x 9.5 mm

2.5 x 5.5 x 9.5 mm

OTHERS

AMBIENT TEMPERATURE:

OPERATING:

STORAGE:

HUMIDITY:

OPERATING:

STORAGE:

APPLICATION:

SAFETY REQUIREMENT:

REMARKS:

UNIV POWER CORPORATION
5F, NO. 35, Lane. 90, Min Chuan Rd., Hsin-Tien City, Taipei County, Taiwan R. O. C.
Tel: 886-2-2219-2331 Dircet Line: 886-2-2219-1527 Fax: 886-2-2219-2353 E-mail: sales@univpower.com.tw