Date:
Contact:
Position:
Company:
Address:
Telephone:
Fax:
E-mail:
Assembly
Quantity
New or Existing part
Toroid:
Annual Qty.
New Product:
E Core:
Batch Qty.
2nd Source:
Other:
Target price:
Drawing Available:
Materials
Wire & Winding
Core:
Bobbin:
Clip:
Additional Notes
