Switch Req. Form

For best result use Internet Explorer Browser AIRBORNE SALES DEPARTMENT PRESSURE SWITCH REQUEST FORM Please complete form below. After submitting your request, this information will receive our immediate attention.
Customer Name:
Title:
Company Name
Address:
City:
State:
ZIP Code/Province:
Country:
Phone:	Ext:
Fax:
E-mail address:
Technical Data
Switch Type:
Normal System Pressure:	PSIG
Maximum System Pressure:	PSIG
Proof Pressure:	PSIG
Burst Pressure:	PSIG
Critical Set Point:	PSI On Increasing
Critical Set Point:	PSI On Decreasing
Dead Band:	PSI Max.
Dead Band:	PSI Min.
Sensing Media:	Other Media:
Cycles:	Per Minute Per Hour
Vibration Requirements:	G Other:
Vibration Requirements:	-X- -Y- -Z- Axis
Electrical Enclosure: (for multiple selection-hold CTRL key)
Media Temperature:	Deg. F High Deg. F Low
Ambient Temperature:	Deg. F High Deg. F Low
Working Temperature:	Deg. F
Size Limit:	Dia (in) H (in)
Pressure Port Type & Size:	Other Port:
Other Design Consideration:
Electrical Data:
Switch Electrical Rating:
Volts:
Actual Circuit Current:
Switch Contacts Type:
Electrical Receptacle.: (for multiple selection-hold CTRL key)	Other
Application Data:
Brief Description of Application (E-mail circuit diagrams if available)
Estimated Annual Usage:
Target Price:

FSCM 09049