Name:   Company: 

Email:   Phone:  Please call 

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

1. Target: (Gear or Other)

A. Gear dia:  Pitch/Module:  Width: 

B. Other Target Type: 

Dimension:   Material: 

C. Min RPM:    Max RPM: 

D. Air gap: 

2. Output Type:  Active/Digital  Passive/Self-powered  Other: 

3. Interface:

A. Connector: 2 pin  3 pin  Other: 

B. Lead wire description: 

4. Environment: 

Temperature Range: 

(Check all that apply) Moisture  Oil  Vibration  Corrosive  Hazardous

Hazardous Classification: 

5. Quantity:    6. Date Needed: 

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