* = Required Entry*Company Name:
Street Address:
*City, State:
Zip Code:
*Contact Name:
*Contact Email:
*Contact Phone:
Contact Fax:
Quantity:
Input Signal: 4-20MA 1-5V 0-10V 10-50MA T/C RTD 3-15psig other 0-5V
Output Signal: 4-20MA 0-5V 1-5V 0-10V 10-50MA 3-15psig other
Unit Power: 4 wire 120 VAC Powered 4 wire 24 VDC Powered 2 wire Input Loop Powered 2 wire Output Loop Powered
Options: RFI Protection Transmitter Excitation Dual Inputs/Dual Outputs One Input/Dual Outputs None
Housing: Din Rail Nema 4 Explosion Proof Surface Mounting
Notes (if you chose other for any of the above, please specify here):
Once you submit this Inquiry Sheet, please use your browser's back button to return to this page. Then use the navigation bar at the top of the page to select another destination within the site or submit another inquiry using the buttons at the left.
Leave this empty: