Request for Quote
 
Thank you for giving PSE this opportunity to provide you with a quote for the services you need.
 
Please provide the following product information.
 
Please keep in mind that the more information we have on your product the more accurate we can be in providing you the service that will meet your needs.
 
If you have any questions or need any assistance with the form please don't hesitate to call us at 352-588-2209, ext 106 or email us at pse@pseinc.com.
 
 Contact Information
First Name: Email Address:
Last Name: Phone
Job Title: Fax:
 
 Company Information
Company Name: Web Site:
Address: Country :
City: How did you find us?
State: Other:
Zip/Postal Code: Referral:
 
 Identifying Test Requirements
What Countries or Regions would you like to Market your Product in?
 US  Canadian   European  Japan  Australian  Global
List any specific countries or regions, other than checked off above, where you would like to market this product.
How Long will this product be on the market (life cycle)?
What is the primary intended use environment for your product?
Other:
Category for the product:
Other:
Marks of immediate interest:
Other:
Marks, Listings, certifications of future interest:
Other:
Do you have any existing approvals:
Other:
 
 Product Information
Product Name: Give a brief description of the functions that your device performs:

or Prototype/Engineering Development Name:

Model Number(s): Are there any peripherals required to configure system?

If yes above list peripherals required:

If more than one model is listed above describe the differences between each model:  

How many unique configurations are to be tested?

How many Modes of operation exist?

Approximate set-up time for your device (in Hours):

Approximate weight: Web link to brochure or photo of product(s):
Primary material used for the enclosure: Rough Dimensions (L X W X H in inches or millimeters):
 X X
 
 
 Power Requirements
Power Supply: Voltage for EUT?
If Battery Power is it? Other:
 Rechargeable  Non-rechargeable Amps draw during operation:
Can product operate during charging? Max or peak amps draw: 
Frequency:
Power type:  If Three phase, indicate:
 
 Other
 
Number of Power Cords: Software Platform:
Type of power cord connection: Software Platform (Other):
Frequency of Clock Oscillators in your system:

Highest frequency used or generated in your system: How many unique interface cables are not functionally limited
to less than 3 meters in length?
  Number of unique interface cables/IO:
Please indicate any telecommunications ports on your product:
RJ11  T1/E1  DS    ISDN    Ethernet    Other:
Is this your first experience with EMC compliance testing:
Are you interested in pre-testing or EMC design consultation services?
 

 

 


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