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: BatteryChargerBoth

    Estimated annual quantities: (required)

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

    Preferred battery chemistry:

    Manufacturer of cell (or TBD):

    Nominal pack voltage: (required)

    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: YesNo

    Battery low voltage cutoff mechanism within end product: YesNo

    Thermistor included: YesNo

    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: YesNo

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

    Custom labeling requirements:

    How did you find us? Google SearchGoogle paid AdThomasNetGlobal SpecQmedLinkedInReferral

    Found us another way:

    Other special requirements for the pack:

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