Slip Ring Quote Form

Please complete this form to tell us about your slip ring specifications.  We'll contact you with information about
the slip ring that matches your application.

Please provide the following information:

First name
Last name
Function   Procurement  Engineering  Other:
Organization
Street address
Address (cont.)
City
State/Province Zip/Postal code
Country
Work Phone
FAX
E-mail

Please provide as much information as possible, enter NA for those questions that are not critical or important to you.
Do not be concerned if you do not have all of the specifications that are requested, we are happy to work with as little
or as much information as you can provide. However, the more complete your response, the more thorough our analysis.

Select which category best describes your application:

Commercial
Industrial
Military/Aerospace
Other

Please give us a description of your application:

Type of slip ring:   

This application is: New Retrofit/replacement
Current supplier Part number

Life & usage

Estimated annual usage
Estimated life of program
Price target
Production start date/Delivery time frame

If a new design is required, is there funding available to cover non-recurring engineering & tooling costs?
 YES     NO

Mechanical specifications:

Mounting specifications:

Specifications:

Number of rings
Size:

Length

Diameter

Bore

Wear (life):

Hours (or yrs)

At duty cycle

Operating temperature range (°C)
Ambient air pressure:

Normal

Mininum

Vibration: g's

@

Hz

Shock

g's
Sealing: None Dust
Submersion Water spray
Rotational speed:

Normal

Maximum

Maximum starting torque gm-cm
Maximum running torque gm-cm
Maximum weight
Lead length

Rotor

Stator

Connectors

Rotor

Stator


Circuit function

No. ring

Current (amps)

Working volts

Digital risetime
or freq. (Hz)

Crosstalk isolation (dB)

Norm

Max