Custom Cable Harness Request for Quote
This request for quote form is designed to help you communicate your project requirements to the factory as efficiently as possible. Please fill in all sections of the form as completely as you can.
Customer Contact Information
Company Name:
Phone:
Fax:
E-mail Address:
(Required for RFQ Confirmation)
Location:
Engineering Contact:
Purchasing Contact:
Other Contact(s):
Project Information
Name of Project or Program:
Description of Project :
* Type of harness or assembly,
* Level of interconnection where assembly will be used,
* General dimensional (size/shape) details,
* Number and orientation of any breakout legs.
Initial Quantity:
Required Delivery:
Potential Long-Term Quantity:
Description of Any Relevent Operational Issues:
* Extraordinary Approvals
* Long-lead Test Reports
* Historical Quality Requirements
* Pricing Issues, etc.
Engineering and Design Issues
Describe the overall make-up of the cable and harness,
including connectors, wire numbers and types:
What is the intended working environment of the interconnect system?
Shipboard
Space
Airframe
Ground Support
Missile Defense
Telecommunications
Rail or Mass Transit
Oil Patch
Deep Sea
Other
What level of environmental protection is required?
Not Applicable
Moisture Resistance
Full Water Immersion
Chemical/Caustic Fluid Resistance
Extreme Corrosion Resistance
High-Pressure Sealing
What level of electromagnetic shielding is required?
Not Applicable
Single Overall Braid
Double Overall Braid
Individual Conductor Braiding
Other
Describe the level of mechanical protection and/or strain-relief required:
Not Applicable
Light Duty
Medium Duty
Heavy Duty
Gorilla Proof
Is field repairability a design requirement?
Yes
No
Is weight reduction a design requirement?
Yes
No
Glenair connectors considered
for this application:
MIL-DTL-38999 Hermetic Connectors
MIL-C-28840 Circular Connectors
Series 80 "Mighty Mouse" Connectors
Series 22 Geo-Marine
®
Connectors
MIL-DTL-5015 Type Composite Connectors
MIL-DTL-38999 Style Fiber Optic Connectors
MIL-C-28876 Style Fiber Optic Connectors
MIL-DTL-83513 Micro-D Connectors
Series ITS 5015 Type Reverse Bayonet Power and Signal Connectors
Series IPT SE 26482 Type Bayonet-Lock Connectors
Series CB Compact Bayonet "PogoPin" Connectors
What is the operating temperature range of the application environment?
Describe any specific size or shape constraints which need to be considered:
Describe preferred jacket/sheath or other wire protection materials such as conduit, including material type and brand if applicable:
Describe any additional design issues which will assist our engineers in bidding this project:
