Quote Request Form

Please submit this form to request a quote from us.
Or if you prefer, call 847-537-6400 and ask for Jack Black.

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First Name:
Last Name:
Company Name:
State/Province: * Please select one.

Type(s) of testing requested:

EMC Wireless Safety Environmental

Technical Information:

Product name/model number:
Standard(s) you need to test to,
if known:

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Size of your Equipment
(length x width x height):
Power Requirements:
(Write "N/A" for Shielding Effectiveness)
Number of Cables, if applicable:
Additional or special requirements needed for testing:
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(drawings, product literature, etc.)

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