Company Name

Your Name

Phone Number

Email

Project Name

Filter Type Filter Type FlexFilter Insert Filtered Connector Module Feed Thru Filter Cable Assemblies Custom

Desired Termination Type Desired Termination Type Solder Cup PC Tail Wired Custom

Capacitance Needed

Frequency Issues

Operating Voltage

Required Dielectric Voltage

Lightning Test Compliant? Lightning Test Compliant? Yes No

ROHS Compliant? ROHS Compliant? Yes No

Backshell? Backshell? Yes No

EMI/Environmental Gasket? EMI/Environmental Gasket? Yes No

Used Connector Type

Part Number

Volume Expected

Target Price

Notes/Competition