Complete and submit this form to request a quote for a custom part magnetic component.

Name               

Title        

Company 

Email       

Phone      

FAX         

Purchasing Contact 

Samples  Quantity   Date Needed

Address

Type of Quote AC/DC Switching Power Supply Transformer DC/DC Switching Power Supply Transformer Current Sense Transformer Inductor EMI Choke Common Mode Choke       

Quote Quantity  1.   2.   3.

Safety Requirements  UL  CSA  VDE  TUV  

                                Other 

                                Other 

Primary to Secondary Isolation Operational Basic Supplemental

Primary to Secondary Isolation kV

Primary Turns    

Primary Inductance   

Secondary 1 Turns   

     Secondary 1 Reference  Primary Secondary

Secondary 2 Turns   

     Secondary 2 Reference  Primary Secondary

Secondary 3 Turns   

     Secondary 3 Reference  Primary Secondary

Secondary 4 Turns       

     Secondary 4 Reference  Primary Secondary

Secondary 5 Turns       

     Secondary 5 Reference  Primary Secondary

Core Manufacturer    

Core P/N    

Core Constants

    Ae =  cm^2    Al = mH/1000T 

    Magnetic Path Length = cm

Bobbin/Header Requirements:

Drawing Submitted Yes  No

    Drawing Number 

    Revision      Date

    Delivered to GBI on , via  

               E-Mail Attachment 

               FAX

               Mail or Courier

Notes: