Micron Transformer Quote Form

Customer Name:

Requested By:

E-mail Address:

Phone Number:
()

Application:

Quantity:

VA Size:

Frequency:

TRANSFORMER TYPE:

      Machine Tool
      Power
      Auto Transformer
      Choke
      Ballast
      Other

THREE PHASE:

      Input:   Delta   Wye

      Output:   Delta   Wye

Shielding:
      Electrostatic
      How is it to be Grounded?
      Other

BALLAST:
      Lamp Voltage
      Open Circuit Voltage
      Operating Volts and Amps

TYPE OF LAMP:
      Mercury Vapor
      Metal Halide
      Is Lamp to be Operated at Full Power?
           Yes    No

CHOKE:
      Filter
      Swinging
      Inductances
      Currents
      Amps DC

Windings	Volts	Taps or CT	AC Amps	Termination Type
#1 (Pri)
#2 (Pri)
#3 (Pri)
#4 (Pri)
#5 (Pri)
#6 (Pri)

Physical and/or Mounting Dimensional Restrictions:

Duty Cycle:

Temp. Class:

Necessary Approvals:   UL   CSA
  Other

Additional Information: