Request For Quote

This form provides our battery design team with the information required to quote pricing and to help you design a custom battery pack. Please complete this form and list any other helpful information in the "Other" and "Special Testing" sections. Required fields are marked with an asterisk.

General
Company Name * Contact * Position
Address * City * State * Zip/Postal *
Phone * Fax Email *
Application
Target Price Estimated Annual Quantity
Quote Samples Both
Electrical Data
Battery Type  
Primary Rechargeable
Battery Chemistry (if known)
Configuration
Series Parallel Capacity (mAh)
Operating Voltage
Minimum Average Maximum Minimum Run Time
Discharge Data
Peak Discharge Current Average Peak Duration Continuous Discharge Current Voltage Termination
Charge Data
Charge Current Charge Time Termination Method
Electronics Required
Thermostat Polyswitch Thermistor Circuit Protection
Fuel Guage SMBus Fuse Other
Charger Needed?
Yes No
Operation Temperature (in degress Fahrenheit)
Minimum Average Maximum State
In Charge
In Discharge
In Storage
Construction
Metal Case Molded Plastic Shrink Wrap None
Connection Method
Solder Tabs Connector/Type Quick Connects/Fasteners
Other
Special Testing
Other