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  Load Bank Price Quotation Request Form
 

Please provide the following information.
Areas marked with * are required for form to be submitted.

Name*
Title
Company*
Street Address
Address Cont'd
City
State/Province
Zip/Postal Code
Country
Telephone*
FAX
E-Mail*

How did you hear about us? (select one)
Avtron Web Site
 Magazine Ad
 Post Card
 Thomas Register		 Trade Show
 Internet Search Engine
 Repeat Customer
 Other

I am interested in receiving a quotation on the following Load Bank:

  1. Load Bank Type (select one)
     Resistive
     Reactive
     DC
  2. Voltage (select one)
     480 VAC, 3 PH, 60 HZ
     240/480 VAC, 3 PH, 60 HZ
     240 VAC, 3 PH, 60 HZ
     400 VAC, 3PH, 50 HZ
     208 VAC, 3 PH, 60 HZ
     240 VAC, 1 PH, 60 HZ
     120 VAC, 1 PH, 60 HZ
     24/26 VDC
     48/52 VDC
     120 VDC
    Other
  1. Mounting (select one)
         Portable
     Permanent
     Trailer
     Radiator/Duct Mount
  2. Total Capacity in KW
         KW
  3. Minimum Load Step Resolution in KW (select one)
         5 KW
     50 KW
     Other KW
  4. Location (select one)
         Indoors
     Outdoors

Please provide any additional information in the space below:

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