Mica Strip Heater Product Data Quotation & Order Form
 

Name:
Company:
Address:
City:
	State: Zip Code: Country:
Phone:
Fax:
Email address:
Part Number if Available:
Quantity:

If No Part Number Available:

1.	Length: Width:
2.	Watts: Volts:
3.	Termination:   L1     L2     T1 Termination:   T2     T3     B1 Termination:   B2     B3     Fig. 3 Termination:   Fig. 5     Fig. 6     Fig. 16 Termination:   Other:
4.	Lead Length (If applicable): (L1, L2, Fig. 3, Fig. 5, Fig. 6, Fig. 16)
5.	Lead Protection Length (If applicable): (Fig. 3, Fig. 6, Fig. 16)
6.	Agency Approvals:   None       UL Recognized       CSA Certified Agency Approvals:   CE       Other:
7.	Other Special Features: (Cold Ends, Wattage Distribution, etc.)

Operating Conditions:

A.	Application (Describe in detail): Heated Medium:   Gas    Solid    Liquid
B.	Application Temperature: °F
C.	Ambient Temperature: °F
D.	Installation Environment:    Indoor    Outdoor

Please reference information from OGDEN Web Site or OGDEN Catalog