General Product Enquiry Form
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Teletron Industries Sdn Bhd > Order Form
DATE:
EMAIL:
PRODUCT TYPE
SIZE:
Contact Person:
Company Name:
Company Address:
Tel. No.:
Fax. No.:
H/P No.:
PRODUCT SPECIFICATIONS
REGULATED
UNREGULATED
i) I/P Voltage:
ii) Frequency (Hz):
iii) O/P Voltage:
iv) Amp (mA@VA):
v) Efficiency:
100%
80%
60%
vi) I/P Terminals:
vii) O/P Terminals:
viii) Statutory & Regulatory
Requirements:
ix) Others:
ADAPTERS SPECS
a) Polarity
b) Jack Size
c) Wire Length
TRANS SPECS
a) Regulation (%)
b) Mounting
With Bracket
Without Bracket
Quantity
month
year
order
Target Price (RM)
Purposes
Current Supplier
Approval
(UL/VDE/SIRIM/SEMKO/CE)
Local/Overseas
For your future reference we recommend that you print this form before you submit it.
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