Applitek Technologies Corporation Tomorrow's Crimp Technology Today! Crimp Technology
 

APPLITEK™ EZ-QUOTE:

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1. Contact Information:

Company Name:

Contact Person
(for this quote)

E-mail Address:

Street Address:

City/State/Zip: ,

Country:

Phone:

Fax:


2. Terminal Information:

Terminal Manufacturer:

Manufacturer's Part #:

Your Terminal Part #
(if applicable):


Terminal to be inserted in housing?: Yes No

Is there a seal or grommet applied?: Yes No

Crimp Barrel Type: Open Closed

Open/Closed Terminal


Please indicate carrier strip configuration:

(1) End-to-End
End to End Carrier

(2) Front
Front Carrier

(3) Rear
Rear Carrier

(4) Front and Rear
Front and Rear Carrier

(5) Center
Center Carrier

(6) Front and Center
Front and Center Carrier

(7) Rear and Center
Rear and Center Carrier

(8) Front, Rear and Center
Front Rear and Center Carrier


Select Feed Orientation:

Rear (End-to-End)
End to End or Rear Feed

Left-to-Right
Left to Right Feed

Right-to-Left
Right to Left Feed


3. Press Information:

Crimping Press Manufacturer:

Model:

Will applicator be used as Bench?

Or, with Fully Automatic equipment?

If Automatic, please specify Manufacturer and Model No. of equipment:

Manufacturer:

Model No.:


4. Wire Information:

Wire Gauge(s):

Number of strands in
conductor:

Insulation Diameter(s):

Pull test (minimum):

Indicate number of wires to be crimped simultaneously:
Single Double

5. Crimp Specification Information:

If crimp specifications are required, please indicate below
dimensions and tolerances allowed:

Conductor Crimp:


height .
Conductor Crimp Sizing
. width


Insulation Crimp:


height .
Insulation Crimp Sizing
. width


NOTE: Unless otherwise specified above, APPLITEK will develop appropriate crimp specs based on terminal and wire supplied. If a housing is required, a sample must be supplied.
6. Additional Notes:

A) For quoting, a one foot strip of terminals and wire(s) are required.
If available, actual crimped samples and/or a terminal dwg would be helpful.

B) When ordering, a six foot strip of terminals and wire(s) will be required.
If applicable, housings and seals/grommets must also be supplied.


7. Additional Comments:


Filling out this field will result in your form being rejected.

Applitek Technologies Corporation
160 Georgia Avenue, Providence, R.I. 02905, USA
TEL: 401-467-0007         FAX: 401-467-5525
E-mail: info@applitek-usa.com

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