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RFQ/Specifications Checklist

Company Name Address City State Zip Country Phone Fax Email Intended Application

*

Annual Qty

* Required by Duncan for accurate product quote (min-max ranges)

Electrical Specifications

Mandatory Customer Rqmt?

*

Active electrical travel Inches/Degrees

*

Total resistance

*

Linearity/Accuracy Output smoothness/noise Resolution Output required (analog, etc.) Power range Other

Mechanical Specifications

Mandatory Customer Rqmt?

*

Envelope dimensions

*

Mechanical travel Life requirements: Full stroke Dither Method of termination – (Integral connector, wiring harness, terminals, etc.) Other

Environmental Specifications (optional; Duncan standard specs below)

Mandatory Customer Rqmt? Temperature Test parameters Sealing/Fluid susceptibility Shock/vibration Humidity Salt spray Other Submitted by Rep # Date