	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
*	Application details:
		What end product will the switch be used with?(e.g. dishwasher, copier, furnace, etc.)

		How are you using the switch? (e.g. to sense something, for example, the sense when a door is open or to sense when a coin drops; to use as a timer; etc.)

	Approximate size:	Inches mm Length Width Height
	Electronic configuration:	SPDT DPDT SPST/NO SPST/NC
	Desired operating force:	Ounces Grams
	Desired operating temperature:	85�C 120�C 150�C Other:
	Termination requirements:	QC (0.187"/0.250") Screw Solder PCB Other:
	Type of actuation:	Button Lever Roller Other:
	Agency approvals needed:	UL CSA VDE Other:
	Other application parameters:	Dustproof Waterproof
	Additional requirements:
*	Estimated annual usage:
*	How many samples do you require?
	Target price:
*	First name:
*	Last name:
	Title:
*	Company:
*	Address 1:
	Address 2:
*	City:
*	State/Province:
*	ZIP/Postal code:
*	Country:
*	Phone:
	Fax:
*	E-mail:

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

*

Application details:

What end product will the switch be used with?(e.g. dishwasher, copier, furnace, etc.)

How are you using the switch? (e.g. to sense something, for example, the sense when a door is open or to sense when a coin drops; to use as a timer; etc.)

Approximate size:

Inches mm Length Width Height

Electronic configuration:

SPDT DPDT SPST/NO SPST/NC

Desired operating force:

Ounces Grams

Desired operating temperature:

85�C 120�C 150�C Other:

Termination requirements:

QC (0.187"/0.250") Screw Solder PCB
Other:

Type of actuation:

Button Lever Roller Other:

Agency approvals needed:

UL CSA VDE Other:

Other application parameters:

Dustproof Waterproof

Additional requirements:

*

Estimated annual usage:

*

How many samples do you require?

Target price:

*

First name:

*

Last name:

Title:

*

Company:

*

Address 1:

Address 2:

*

City:

*

State/Province:

*

ZIP/Postal code:

*

Country:

*

Phone:

Fax:

*

E-mail: