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Company:
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Contact:
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Title:
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Phone:
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Fax:
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Email:
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Description of Item to be Designed:
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Is a written specification or requirements document available?
Yes
No
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Below is information which will be needed to establish a design program.
It is not required to start a dialog but will be required, along with an
operational description, before a design can start.
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Inputs:
Fill in approximate quantities
Keyboard or Push Buttons (panel inputs, other controls)
Analog Inputs (temperature, pressure,voltage, current, other)
On-Off Inputs (status, limit switch, enable, disable, other)
Digital Inputs (time, speed, distance, data)
Real Time Inputs (time critical digital interrupts)
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Outputs:
Fill in approximate quantities
Power (relay, triac, FET switch, other)
Display Text char per Line no. of Lines
Display Indicator (LED, backlight, lamps)
Signal on/off digital data audio RF IR
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Logic:
Check or fill in as appropriate
Microprocessor I/O qty A/D
Hard Logic (no software/firmware)
No logic (signal processing, straight-thru I/O)
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Power:
Fill as appropriate
110/220 VAC
Low Voltage AC
Low Voltage DC
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Usage:
Fill as appropriate
Industrial (-40 to +85 C)
Commercial (0 to +70C)
UL/CSA (listing or recognition)
CE/VDE/other (listing or approval)
FDA/Medical
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Schedule:
Fill as appropriate
Desired Start First Prototype
Pre-Production Units Production
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Production Potential:
Fill as appropriate
First Year Quantity Third Year Quantity
Contract Production Build-to-Print Full Service Mfg.
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