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Please provide the following  information:

Product Description:
Model(s):
Alternate Model(s), if any:
Electrical Ratings:
Certification Marks Needed:
Product(s) Dimensions:
Product(s) Weight:  

Manufacturing Location:

 
Company Name:
Your Name:
Street Address:
City:
State:
Zip:
Email Address (required):
Phone number:
Fax number:
 
Power Supply Information:
   
Is the power supply approved? Yes          No
   
What approvals?
   
Is it hot-swappable? Yes          No
   
If power supply is UL 1950 approved, what edition of UL 1950?
   
Telecommunication Devices?
(Modems, T1, E1, etc.- if yes, please provide a list and approval information)
   
Lasers?
If yes, please provide approval information - U.S. (CDRH report), Europe (IEC 825 report)
   
Batteries?
If yes, please provide approval information and type
   

 Classification of the Equipment (please select):
 

ITE- Information Technology Equipment
(Computers,telephony,communications)
Lighting  (controls and/or accessories) Gaming and Amusement
(Electronic gaming equipment)
Laboratory and Control Equipment
(Test instruments and/ or devices)
Machinery Equipment
(Moving parts/Industrial Processing)
Medical Equipment
(Treating patience or hospital use)
Audio and Video
(Amplifiers, televisions, broadcasting)
Cooking/ Kitchen Appliances
(Toasters, Ovens, Grills, etc.)
Others