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Electrical Cord Assembly Worksheet
Please indicate length, gender and whether connectors are to be fully-molded or mechanically assembled.
Then, simply check mark connector type(s), cable type and other pertinent special instruction(s).
Be certain to indicate which pins are terminated.

Consolidated Custom Assembly

Cable Type
Cable Length: Shielding:
Part Number: Cable Style:
AWG Size: No. of Conds.:
No. of Pairs:
  
Regulatory Agency Approvals
UL CSA NEC Mil. Spec
Other:
  
Connector A   Connector B
Gender: Gender:
Style: Style:
Connector: Connector:
Drain Wire: Drain Wire:
Special: Special:
  
Special Instructions
In the box below, please specify any additional information (eg connector type information, cable type information etc.)
that would help us in preparing a quotation.

   
Pinout
Connector
A to B
Connector
A to B
Connector
A to B
Connector
A to B
Connector
A to B
Connector
A to B
1 to 2 to 3 to 4 to 5 to 6 to
7 to 8 to 9 to 10 to 11 to 12 to
13 to 14 to 15 to 16 to 17 to 18 to
19 to 20 to 21 to 22 to 23 to 24 to
25 to 26 to 27 to 28 to 29 to 30 to
31 to 32 to 33 to 34 to 35 to 36 to
37 to 38 to 39 to 40 to 41 to 42 to
43 to 44 to 45 to 46 to 47 to 48 to
49 to 50 to  
   
Ordering Information
Qty per Order: Qty per Shipment:
Packaging: Delivery Date:
  
Add A File
Do you have a file that you would like attached to this request? If so, you can send it to us using the following form field:
Attach File:
(Click the Browse button to select the file that you want to attach, or type the path to the file in the box
)
      
Contact Information
Name:
Title:
Company:
Address:
City: State:
Zip Code: Phone:
Fax No: Email:

For further information on Custom Products, please contact:

So-Cal Value Added

809 Calle Plano, Camarillo, CA 93012

Ph: 805-389-5335 • Fax: 805-987-3477


E-mail: sales@scva.cc


 

If you don't have working drawings,
complete one of our product worksheets for a custom quotation.

 
 
 
 
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All rights Reserved.