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Custom Transformer Quotation Request Phone: (800) 377-4384 FAX: (800) 538-6545 Email: [email protected] http://www.solahd.com Date: I nform ation is required prior to Quotation being issued. 1) Customer Information *Distributor: *Contact: *Account #: Phone/Fax: Email: *Representative: Contact: *Phone: Fax: Email: *City/State: *Job/Project Name: 2) *Specifications *Quantity *Size (Required) kVA VA 2A. 2B. Temperature Rise (Check One) One Time Buy Annual Usage 80°C 2C. Check All That Apply: 115°C 150°C 2D. Enclosure Type (Check All That Apply) Three Phase Single Phase VENTILATED ENCAPSULATED 50 Hz 60 Hz (Standard) Open Coil ** NEMA 3R Copper Windings Aluminum Windings (Standard) NEMA 1 NEMA 3R (SS) No Electrostatic Shield LVGP SCR Drive Isolation Energy Star K-Factor 13 K-Factor 4 K-Factor 20 NEMA 1 (SS) NEMA 4/12 (SS) NEMA 3R (WSXX) NEMA 4X (SS) NEMA 3R (SS) ENCLOSED (NON-UL) TENV TENV (SS) (SS) Stainless Steel Grade: Standard (304) Optional (316) Hazardous Location Class 1, Division 2? Yes Notes:_______ 2E. Other: 3) Industrial Control Transformers ICE HSZ Series Other: 4) *Primary Voltage 5) *Secondary Voltage Other Voltage: 208 240 Taps: 600 208 Standard 240 Other 480 If 3 Phase: Other Voltage: 120 120 480 Delta (Standard) Delta 600 If 3 Phase: Wye 6) Agency Certifications Check All That Apply: UL CSA or cUL CE Other 7) Additional Information Please quote a Catalog or Design Number Similar to : (if “similar to” note changes above) Exactly Like: Does this request pertain to a bid specification?* Yes No Competitive Data (must be completed for special pricing consideration) End User/Contractor: Competition: Competitors Part #: Target End User Price: Competitors Price: Distributor Margin: Email this form to [email protected] or FAX to (800) 538-6545. *Required Field ** Top Terminated Standard (UL Recognized) Wye (Standard)
