Product enquiry

 

FB 029 / REV 1 / Published 23.04.2007 / Creator QMB

 

Please fill in this form completely. By doing this we will be able to offer you a suitable product.

 

After you have sent the form, a technician from Jewo Batterientechnik will get in touch with you and discuss further details and questions with you.

 

Battery

 

Type of battery Please choose Rechargeable Ni Cd Ni Mh Li Ion Lead Non rechargeable

 

Voltage:

 

Voltage min

 

Voltage type

 

Voltage max

 

Capacity:

 

Capacity min

 

Capacity type

 

Capacity max

 

Current:

 

Current min

 

Current max

 

Surge current

 

Please choose the unit for the capacity:

 

Bitte wählen Sie die Einheit für die Kapazität

Ampere-hour (Ah)
Milliampere-hour (mAh)

 

Use

 

Please describe the use and the product in detail:

 

Description

 

Is it a completely new product?

Yes
No

 

Requirement/Delivery schedule

 

Is a design or a prototype required?

 

Quantity Quantity 5-10 units 11-50 units 51-100 units More than 100 units No details

 

Requirement Requirement Straight away - within 3 months 3-6 months 6-12 months Future Need

 

Planned annual quantity

 

Quantity Quantity 5-10 units 11-50 units 51-100 units 101-500 units 501-2.500 units 2.501-10.000 units 10.001-50.000 units More than 50.000 units

 

Requirement Requirement Straight away - within 3 months 3-6 months 6-12 months Future Need

 

Please state any special requirements or characteristics here.

 

Characteristics/Requirements:

 

Your information

 

Name

 

E-Mail

 

Company

 

Telephone

 

Fax

 

Location

 

Country

 

Internet address