RFQ Form

*Company Name
*Customer First Name
*Customer Last Name
*Cellular Number
*E-mail Address
Customer Position
Company Address
P.O. Box
City
Zip
Company Website
Telephone Number (office)
Fax Number
*Poduct Name
*Product Type / Application	MilitaryAutomotiveCommercial ProductRadioMedicalTelecomWirelessTest & MeasurementSolar EnergyOther
Other
Product Target Markets	Europe North America South America Asia Africa Other
Other Target Market
Environmental Conditions	Indoor Outdoor Stationary Transported Carry-on Ground Sea Air
Other Environmental Condition
EMC	Mil-Std-461 CE FCC VCCI Australia Canada Medical
EMC Radio	CE FCC Telecom
Safety	CE CB NRTL by TUV (cTUVus MARK) Australia
Metrology	Test Equipment Calibration Test Equipment repair ISO17025 accreditation required ISO9001 certification required
Special	HALT HASS RAM (MTBF) Other
Power Consumption	AC 3-phase DC
Power (Watt)
Current (Amp)
Other
Date Service is Required
Date Completion is Required
Short Product Description
Intended Use / Application
Unit Interfaces
Product Dimentions (Cm x Cm x Cm)
Product Weight (Kg)
Accessorie provided with the product
Operation frequency ranges
Modulation Types
Continuous Operation	Yes No
If No, Specify the Duty Cycle
Number of transmitters
Product Hazard	Radiation High Voltage LASER
LASER class:
Previous Experience with QualiTech lab''''s services:	Yes No
Did you visit QualiTech labs before	Yes No, but I would like to
*Type the code below

 

 

 

Thank you for your RFQ and the effort to fill out the above form.

 

QualiTech Team will do its best to answer your request.