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: _________________________
________________________________
________________________________
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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: _____________________________
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