Company Name and Address

Contact

Phone

Fax

Email

Description of Application

Exact Function of Switch in System

Cut In Pressure

Tolerance

Cut Out Pressure

Tolerance

Pressure Port Fitting

Switch Termination

Wire Lead Termination (e.g., 1/2 inch strip, 1/4 inch female Q.C, etc.)

Sustained System Pressure

Peak System Pressure

Switch Logic (Contacts to open / close on Pressure Rise)

Volts (AC/DC)

Amps

Inductive / Resistive

Cycle Life Requirement

Operating Temperature

Allowable Drift Over temperature / Life

Switch Environment (Protected/Unprotected)

Agency Approvals (UL, VDE, TUV, ?)

Estimated Annual Volume

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