Custom Cable Order Form

Use this handy worksheet to select your custom built cable features
and fax back to us at (
631-563-2393).  We pledge to get to you with price,
part number, and delivery within 24hours
!


CABLE TYPE: [ ]Unshielded  [ ]Foil and Copper Braided Shield  Other: _______________________
CABLE LENGTH: ________________ JACKET TYPE [  ]PVC [  ]Plenum
 

    CONNECTOR A


    GENDER: MALE[ ] FEMALE[ ]

    CONNECTOR TYPE:
    (Circle One:)
    1 DB9

    2 DB15

    3 DB25

    4 DB37

    5 DB50

    6 15-Pin High Density

    7 36-Pin Centronics

    8 50-Pin Telco

    9 RJ-11 4-Wire

    10 RJ-11 6-Wire

    11 RJ-45 8-Wire

    12 DEC MMJ

    13 M-50

    14 M/34 (V.35)

    15 50-Pin Berg

    16 Spade Lugs, Lengths:

    17 Other______________


    SPECIAL INSTRUCTIONS
    (Circle Options:)

    18 One End Cut

    19 Pins Only

    20 EMI/RFI (Plastic if not Specified)

    21 Thumbscrews

    22 Screwlocks:----Male----Female

    23 90 Degree Hood
    ---Specify Cable Exit:__________

    24 Pairing

    25 Flying Leads,Length:_________

    26 Label:_______________________

    27 Other------Please Attch Specs

    DRAIN WIRE(Circle One:)
    (Applies only to Foil Shielded Cables)

    28 Cut Drain Wire

    29 Pin Drain by Itself--------PIN#____

    30 Wrap Drain w/conductor-----PIN#____

    31 Attach Drain to Shell

    QUANITIY: ________________________

    PART NUMBER: _____________________

    PRICE: ___________________________

    DELIVERY: _________________________

    COMMENTS: _________________________


    ________________________________


    ________________________________

             PINOUT

      Cntr.1          Cntr.2

      Pin#  Connector  Pin#



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      CONNECTOR B

      GENDER: MALE[ ] FEMALE [ ]


      CONNECTOR TYPE:
       (Circle One:)
      1 DB9

      2 DB15

      3 DB25

      4 DB37

      5 DB50

      6 15-Pin High Density

      7 36-Pin Centronics

      8 50-Pin Telco

      9 RJ-11 4-Wire

     10 RJ-11 6-Wire

     11 RJ-45 8-Wire

     12 DEC MMJ

     13 M-50

     14 M/34 (V.35)

     15 50-Pin Berg

     16 Spade Lugs, Lengths:

     17 Other______________

     
      SPECIAL INSTRUCTIONS
      (Circle Options:)

     18 One End Cut

     19 Pins Only

     20 EMI/RFI (Plastic if not
      Specified)

     21 Thumbscrews

     22 Screwlocks:----Male----Female

     23 90 Degree Hood--Specify Cable                  Exit:______________
     24 Pairing

     25 Flying Leads,     Length:____________

     26       Label:_________________________

     27 Other------Please Attch Specs

     DRAIN WIRE  (Circle One:)
      (Applies only to Foil Shielded
       Cables)      
     28 Cut Drain Wire

     29 Pin Drain by    
       Itself--------PIN#____
    30 Wrap Drain  

       w/conductor-----PIN#____
     31 Attach Drain to Shell

      COMPANY:  
       _________________________

      NAME:
      __________________________

      TELEPHONE:  
      __________________________

    FAX: _____________________________

     

 

 

 

E x p e r i e n c e !
Request a
QUOTE, E-Mail or Call us Today at 800-590-9965

Cables Unlimited
211 Knickerbocker Ave Bohemia, NY 11716
Phone: 631-563-6363 Fax: 631-563-2393

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