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Feet
Meters
Pieces/Coils
Estimated Annual Usage
Describe Application and/or Usage
Specifications
Conductors
Number of Conductors
AWG
Stranding
Strand Lay
Other / Not Sure
Conductor Material
Copper
Alloy
Tinsel
Other / Not Sure
Plating
Bare
Tin
Silver
Nickel
Other
Primary Objective
Cost
Flexibility
Capacitance
If Unsure, Please Describe Application
Insulation
Type
PVC
Polyethylene
FEP
Nylon
Polypropylene
Tefzel
Polyurethane
Flame Retardant
Non-Halogenated
Other / Not Sure
Conductor Identity
Color
Stripe
Other
List Colors If Desired
Wall Thickness (include +/-)
OD (include +/-)
Internal Construction Groups
Types
Pairs
Triads
Lay Length
Drain Wire
RHL
LHL
Shield(s) On
None
Single Conductors
Pairs
Triads
If Yes
Braid
Spiral
Other
Material
Wrap
None
Single Conductors
Pairs
Triads
If Yes
Paper
Aluminum
Mylar
Other
Direction
Coverage
Secondary insulation on singles or groups?
Yes
No
Overall Cable
Type
Drain Wire
RHL
LHL
Ley Length
Fillers
Tiecord
List Material
Other
Shield
None
Spiral
Braid
List Material
Other
Wrap
None
Paper
Aluminum
Mylar
Other
Direction
Coverage
Jacket
Type
PVC
Polyethylene
FEP
Nylon
TPR
Polypropylene
Tefzel
Polyurethane
Flame Retardant
Non-Halogenated
Other / Not Sure
Wall Thickness (include +/-)
OD (include +/-)
Color
Print
Coil Cord
Coil Length
Extended Length
Tail Length
ID
OD
Standards / Ratings
Voltage
UL
CSA
Mil
Other
Shipping Requirements
Minimum Length Requirements
Special Packaging
Notes / Other Information