Company Name:
Contact Name:
Street Address:
City/State/ Zip:
Telephone #:
Fax #:
Email:
Website:
Company Type:OEMDistributor/Reseller
Breifly Describe Your Application:
Date
Quantity
Prototype
Preproduction
Production
Battery Chemistry (rechargable)
Li-IonLi-PolymerLiFePO4Ni-MHNiCd
Battery Chemistry (Primary)
AlkalineLithium(LiSOCl2)Lithium(LiMnO2)
Voltage:
Nominal
Maximum
Minimum
Capacity:
(Ah)
(watt)
Device Cutoff Voltage:
Amps
Watts
Duration(Mins)
Typical
Pulse/inrush
L(Max.)
W(Max.)
H(Max.)
Battery Termination:Bare WireConnector-P/N:
Connecting Wire Length (inches):
Battery Pack Housing: PVC Shrink WrapRigid Plastic HousingDesign Needed
Typical(C)
Maximum(C)
Mininmum(C)
Charging
Discharging
Storage
Protection CircuitFuel GaugeThermistorFusePTC/PolyfuseDiodeOther(specify):
If a fuel gauge is required, indicate form: DisplaySMBus12CHDQDQOther(specify)
Charger Parameters: External Charger (Stand-alone)Integrated Charger (Host)Integrated Charger (Pack)
RoHS RequiredYesNo Other RequiredULIECOther