Project Information Worksheet

Company Name: (required)

Address:

City:

State:

Zip Code:

Website:

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:

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Other special requirements for the pack:

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