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Interactive
Switch Identification Form |
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Step
1... Enter
As Much Information As Available & Submit To CMS
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Your Contact Information.....* Required
Fields |
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A1. Name
*
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A2.
E Mail
*
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A3.
Telephone
Hm *
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Usa format: xxx-xxx-xxxx |
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A4.
Telephone
Wk
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Usa format: xxx-xxx-xxxx |
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A5.
Telephone
Cel
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Usa format: xxx-xxx-xxxx |
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A6.
Telephone
Fax
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Usa format: xxx-xxx-xxxx |
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A7. State/Prov
*
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A8.
Postal Code *
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A9.
Country
*
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Basic Switch Info... * Required
Fields |
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B1.
Manufacturer * |
From
Drop Down List or
printed on switch body or label
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B2.
Part Number |
Printed
on switch body or label |
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B3.
Quantity Req'ed
*
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Quantity
of switches required |
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B4. Actuator Type
*
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Rocker
1 -
Rocker
2 -
Toggle - Push Pull -
Push
Button -
Lever -
Rotary |
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B5. Actuator
Profile *
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Square
- Round -
Oval
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Rectangular -
Wedge -
Contura
- Curved |
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B6. Actuator Material
*
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Metal,
Plastic, Nylon Or Other |
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B7.
Actuator
Color * |
Amber, Black, Chrome, Clear,
Green,
Other, Red, White, Yellow |
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B8.
# Of Terminals
*
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Total
Number Of Electrical Connections (Terminals) |
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B9.
Terminal Types
* |
Tabs
(QD)
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Tabs/Screws - Wire Leads - Solider -
Tapped Holes |
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B10.
Mtg
Type *
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Round,
Rectangular, Square, Other |
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B11.
Mtg
Cutout
*
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Height
X Width Or Diameter |
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B12. Bezel Color *
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Applies to Rocker & Push Type
Switches |
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B13.
Function * |
Off-On,
Off-Mon, On-Off-On, Mon-Off-Mon, Off-On-Start, Fwd-Off-Rev |
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B14.
Strap Jumpers * |
Yes - No Typically used on
forward & reverse applications |
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Lighted Switches... If Non Lighted Select "None" in Item C1 &
Skip To "Submit Request"
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C1. Light Voltage
*
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Ac
Or Dc... 6, 12, 24, 28, 32, 48, 120, 220, 480 Volts etc |
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C2.
Lens 1 Color
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Amber, Blue, Clear, Green, Red &
White |
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C3.
Lens 2 Color
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Amber, Blue, Clear, Green, Red &
White |
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C4.
Light 1 Color
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(Pos#1)
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(Pos#2 Clear) - (Pos#3) |
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C5.
Light 2 Color
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(Pos#1)
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(Pos#2 is Clear) - (Pos#3) |
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C6.
Lens Type |
Tipped -
Round
1 -
Round
2 -
Rectangular - Square
- Square2
- Raised |
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C7. Lens
Location
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Tip, Top,
Center, Bottom, Left, Right, End, Both Ends |
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* Required
Fields |
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Step
2... Enter Text Message
In Box Below
As Required
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Printable
Copy Of Request
Will Appear After You Submit!
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If
Returning To This Form After Submitting... Use
Browser Back Button Only!
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Step 3...
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Revised:09/08/2010 22:52:22
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