Please answer as many questions as you can, fill in your name, address and phone, then press the "Submit" button. We'll get back to you as quickly as possible. For immediate assistance call us at (800)927-6298 or fax your questions to (262)942-6566.

	Do you have a part number in mind?	No Yes:
	Do you have a specific series in mind?	No Yes:
	Tell us about your application:
*	Voltage:	AC   DC
*	Type of load:	Resistive   Inductive   Other:
*	Current:	Amps
	What agency approvals are required:	C.S.A.    E.N.E.C.    U.L.     V.D.E.
*	Application details, describe your application and/or any special requirement:
*	What switch function & circuitry is required?	SP on-off  SP on-on   SP on-off-on  DP on-off  DP on-on DP on-off-on Alternative action    Momentary
	What termination is needed? (Consult factory for more options)
	Q.C. .189(4.8mm) x .031 P.C. Thru-Hole Right Angle P.C. Thru-Hole Straight P.C. Thru-Hole Left Angle .209 x .106 (5.3mm x 2.7mm Solder) Q.C. .248(6.3mm) x .031
	What actuator type is needed? Curved 2 color curved actuator Flat actuator Non-lighted     Lighted
	What color is the actuator? (Standard is black with white legend)
	What color is the body? Standard (Black)       Other
*	Estimated annual usage:
	Target price:
*	How many samples are required?
*	First name:
*	Last name:
	Title:
*	Company:
*	Address 1:
	Address 2:
*	City:
*	State/Province:
*	ZIP/Postal code:
*	Country:
*	Phone:
	Fax:
*	E-mail:

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