Product Inquiry Form

* You are welcomed to fill out the following form, however, if you need faster response then please call us at (502) 933-8660 or send us an e-mail to
  Product Inquiry Form:
Request pricing and lead Times
*** Please tell us how you learned about our products ***
  Please Select Your Specification Needs:
Load Current - Amps
Load Voltage (AC/DC)
Load Voltage (DC)
Load Type (L, R, C)
Package/Case Mounting
Switch Function
Control Voltage, Vcs
Power Supply, Vcc *W = Wider input voltage swing.
Maximum Switching Speed
  Personal Information:
Your E-Mail Address * Required info
Your Name * Required info
Company Name
Address 1
Address 2
Postal Code
Fax Number
Additional Comments