Name:   Company: 

Email:   Phone:  Please call 

I'm looking for... (physical description, manufacturer's #, other details):

1. Sensor Preamp to use with:
Magnetic, passive (VRS) sensor  Inductive sensor
Hall effect/Zero Speed Sensor  Digital Output Sensor
RF Pickup 4 Ohm (Cox type)  RF Pickup 12 Ohm  Undetermined

2. Input sensitivity:

3. Output: 4- 20mA   10- 50mA   0- 20mA   0- 50mA
0- 5V square wave  0- 10V square wave  0- Vsupply square wave
Open collector PNP Open Collector Undetermined

4. Sensor Preamps and Signal Conditioners:

5. Environment: 

Temperature Range: 

(Check all that apply) Moisture  Oil  Vibration  Corrosive  Hazardous

Hazardous Classification: 

6. Quantity:   7. Date Needed: 

8. End Use (for orders delivered outside the US):