Tier Electronics RFQ Form

Please enter the following information
Name:*
Company:*
E-mail:**
Address:*
City:*
State:*
Zip:*
Country:*
Phone Number:*
Fax Number:
Notes:

* Required Fields ** Correct e-mail format required
Please select the product(s) of interest
100/120VAC (1 phase) 2A
100/120VAC (1 phase) 4A
100/120VAC (1 phase) 6A
100/120VAC (3 phase) 8A
100/120VAC (3 phase) 12A
100/120VAC (3 phase) 20A

200/240VAC (1 phase) 2A
200/240VAC (1 phase) 4A
200/240VAC (1 phase) 6A
200/240VAC (3 phase) 8A
200/240VAC (3 phase) 12A
200/240VAC (3 phase) 20A

380/480VAC (1 phase) 2A
380/480VAC (1 phase) 4A
380/480VAC (1 phase) 6A
380/480VAC (3 phase) 8A
380/480VAC (3 phase) 12A

*All input ratings are 50/60 Hz and output ratings are RMS, 3 phase.