STARLINE/NEPTUNE INFO REQUEST FORM



1) Connector Style ___________________________(ZPLD, ZRLK, ZRLP ...)
2) Skirt Type ___________________________(male or female)
3) Skirt Length _________________________
4) Shell Size ____________(12, 16, 20, 24 or 28)
5) Insert Gender ______________(male or female)
6) Number of Contacts ________
7) Contact Finish _____________(silver or gold)
8) Any Contacts Grounded? ________(yes or no)
9) Wire to Contact Termination __________(crimp, solder or pressure)
10) Wire held by _______________________(compression nut, mechanical nut or basket weave)
male skirt contact location
female skirt contact location
11) Diameter of cable ____________
12) Type of Cover ____________(none, flip or screw)
13) Coupling Nut ___________(standard or jack)
14) Cable Adapter Length ___________
15) Hub Size __________(3/4, 1, 1 1/4, ..., 3)
16) Wire Amperage __________

Name _________________________
Firm __________________________
Fax __________________
Phone ___________________

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