Company Name:

Address:

City: State: Zip:

Engineering Contact:

Title:

E-mail address:

Telephone number:
Fax number:

Purchasing Contact:

Title:

E-mail address:

Telephone number:
Fax number:

Application:

Frequency Range:

Slope Response (please check desired type):

Parabolic (maximum allowable band edge insertion loss):

Low Frequency:
High Frequency:
Center Frequency:
Desired Attenuation:

Negative Slope
Positive Slope

Desired low frequency insertion loss:
Desired high frequency insertion loss:

Ripple

Number of tuners desired:
Amount of attenuation per tuner:
Bandwidth of each tuner:
(This is measured @ 1/2 value of the maximum attenuation)

Other (Describe)


Adjustable:
Amount of Adjustability:
VSWR Limits:
Power Requirements:

Linearity or maximum allowable deviation from a nominal curve:

Test Data Requirements:

Mechanical Size:

Connector Type: SMA Type N

Connector Sex: Male Female Male (Input)-Female (output) Female (Input)-Male (Output)

Mounting Holes Required:

Number & Size:

Marking Requirements:

Operating Temperature Range:

Sealing Requirements:

Other Requirements:

Program Name:

Part Number/Drawing Number:

Number of Units Required:

Delivery Requirements:

Other: