Meister International

**Last Name:

**First Name:

Title:

**Company/Organization:

**Address 1/P.O. Box:

Address2:

**Country:

**City:

**State:

**ZIP/Postal Code:

(Required for US residents only)

**Phone:

Example: 999-555-1234

Fax:

Example: 999-555-1234

**E-mail:

Example: username@example.com

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What type of customer are you?

OEM - Original Equipment Manufacturer
Maintenance/Repair Organization
Engineering Firm
Other:

Estimated frequency of re-orders of this initial order size:

Weekly
Bi-weekly
Monthly
Bi-monthly
Quarterly
No Regular Basis

What type of product do you need? Is this a custom product? If this is a custom product, please describe:

Porcelain Bushings
Entrance (Porcelain)
Appartus (Capacitance graded oil-free)
Transformer
Lifter/Thruwall
Disconnect/Wall

Porcelain Bushing Specifications

Voltage Class:

5 V 15 V 25 V 35 V 46 V 69 V

Current Rating:

MOL:

Length Below Flange:

Bolt Circle:

Flange Diameter:

Porcelain Insulators
Standoff

Voltage Class:

Height:

Desired bolt-hole size:
Bus Insulator

A20 A30

Voltage Class: or

Height:
Station Post

Voltage Class:

TR#:
Line Post

Voltage Class:
Other:

Production Requirements

What is your required lead time?

What is the planned application? How/where will this product be used?

Other Important Information
Enter comments or other pertinent information: