Controls & Switches
Sales Request Form

Please Fill out the appropriate information if known and is applicable.
Customer Information:
Company:
Name:
Address:
City:
State or Province:
Zip or Postal Code:
Phone:
Fax:
e-Mail
Application Information:
Product Type: Rotary Selector Switch
Number of Poles
Circuit Positions:

1 Pole:
2 Pole:
3 Pole:
4 Pole:
Shorting: Non-Shorting:

Locating Lugs:
Shaft:  
Length (FMS):
Diameter:
Flat:
Bushing Length
Required Quantitly:
Special Features:
Comments:

 
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Email: sales@duracap.com
Phone: 1-519-539-4891
FAX: 1-519-539-6684

DURACAP INTERNATIONAL INC.
P.O. Box 210
Woodstock, Ontario
N4S 7W8 Canada

© Duracap International, 1997.
All rights reserved.