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Custom Power Supply Request Form

Let Total Power's Engineering staff develop your custom AC/DC or DC/DC Power Supply. Total Power's years of developing high quality low cost custom power supplies have made us a leader in custom design.  Please fill out the information form below and a representative will get back to you as soon as possible.

Name:

 

 

Company:

 

 

Address:

 

 

City:

 

 

State:

 

 

Zip:

 

 

Country:

 

 

Phone:

 

 

Fax:

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Input:

 

 

 

DC Input:

 

 

 

 

  OV1

  OV2

  OV3

  OV4

  OV5

 

 

 

 

 

Output Voltage:

 

 

 

 

 

Output Current:

 

 

 

 

 

Total Output Wattage:

 

 

 

 

 

 

 

 

 

Form Factor:

 

 

 

 

 

 

 

 

 

Cooling:

 

 

 

I/O Connector:

 

 

 

Safeties:

 

 

Prototype Quantity:

 

 

Date Needed:

 

 

Annual Usage:

 

 

Additional Comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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