Project Information Worksheet

Thank you in advance for providing details on your battery / charger application. It is our standard policy to qualify the application before development to ensure the battery / charger is suitable solutions for the project at hand. Please provide as much information about the application as possible.Battery and Charger Information Sheet

Company Name: (required)




Zip Code:


Contact name: (required)

Email: (required)

Phone number:

Description of application:

Date quote needed by:

Product(s) required: Battery Charger Both 

Estimated annual quantities:

Agency approvals required (UL, CE, etc.):

Preferred battery chemistry:

Manufacturer of cell (or TBD):

Nominal pack voltage:

Nominal pack capacity:

Desired run time:

Expected cycle life:

Desired charge time:

Average discharge rate / duration:

Max / pulse discharge rate / duration:

Charge / discharge / storage temperature:

Humidity range:

Fuel gauge requirement:  Yes No

Battery low voltage cutoff mechanism within end product:  Yes No

Thermistor included:  Yes No

Physical configuration of pack:

Maximum dimensions of battery pack:

Maximum weight of battery pack:

Battery enclosure (enclosure, shrink wrap, etc.):

If using an injection molded enclosure, do you require mechanical design assistance:  Yes No

Output termination (connector, wire length, pogo pins, etc.):

Custom labeling requirements:

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Other special requirements for the pack: