Special Cable Questionnaire

Items marked with an asterisk (*) are required fields.

* Name:		* Email:
* Company:		* Phone #:

Application information: (i.e.) environment, exposures, movement, chemical resistance, etc….

Flexing Requirements:	Select one Stationary Continuous Flex Torsional Both Torsion and Continuous Flex
Continuous flex applications
Bend radius:	Select one n/a 1"-2" 2"-3" 3"-4" 4"-5" 5"-6" 6"-7" 7"-8" 8"-9" 9"-10" 10"+ other
Bend Radius (if not listed above):
Expected number of Cycles:	Select one 1 - 2 million 2 - 3 million 4 - 6 million 6 - 10 million 10 - 20 million 20+ million
Torsional flex applications
Degree of twist:	Select one +/- 180 degrees +/- 270 degrees +/- 450 degrees
Length of application:	Select one 0-20" 20"+
Expected number of Cycles:	Select one 1 - 2 million 2 - 3 million 4 - 6 million 6 - 10 million 10 - 20 million 20+ million
Cable configuration information:	Select one paired conductors straight conductors
AWG:	Select one 26 24 22 20 18 16 14 12 10 8 6 4 2
Type of stranding:	Select one bare tinned
Number of conductors including the ground:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Select one
If paired, number of pairs:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Select one
Second or additional confiurations, if nec. (composite cables only):
AWG:	26 24 22 20 18 16 14 12 10 8 6 4 2 Select one
Conductor count or pair count:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Select one
Please note conductors or pairs:	conductors pairs Select one
Paired cables only:
Twists per foot:	1 2 3 4 5 6 7 8 9 10 Select one
Twists per pair per foot:	1 2 3 4 5 6 7 8 9 10 Select one
Shielding requirements for paired cables:	Aluminum Foil and Tinned Copper Braid Shield + Drain Wire Aluminum Foil and Tinned Copper Braid Aluminum Foil only Tinned Copper Braid only n/a Other (please specify below) Select one
Other:
Drain wire size if applicable:	32 30 28 26 24 22 20 18 16 14 12 10 8 6 4 2 Select one
Insulation on conductors:	PVC PUR TPC Silicon SABIX (halogen free) FEP ETFE PFE other Select one
O.D. Requirement (individual conductor):
Color Code:	numbered colored Select one
Special Color Code, if nec.:
Overall Shielding, if nec. (select all that apply):	Foil: YES NO
	Tinned Copper Braid: YES NO
	Spiral Shield: YES NO
	Drain Wire: YES NO
Percentage of Shield Coverage:	70% - 80% 80% - 90% 90% - 100% 1 Select one
Drain Wire, if nec.:	bare insulated Select one
Drain Wire size, if nec.:
Jacketing Material:	PVC PUR TPC Silicon SABIX (halogen free) FEP ETFE PFE other Select one
Jacket Color:	gray black white red green purple orange transparent other Select one
O.D. Requirements for finished product:
Additional Requirements:
Agency Approvals (select all that apply):	UL CSA CE VDE HAR MTW CCC JET NOM Other
* Voltage Ratings:
* Temperature range:
* Quantiity:	Specialty cables require a 1,500’ minimum purchase
Special print legend:
Time frame of project:	Immediately 1-2 months 2-4 months 4-6 months 6-12 months Select one
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