* Full Name
* Company/Organization
   Title
* Address
   Address #2
* Country
* City
* State
* Zip
* Phone
   Fax
* Primary Search Engine Google
Yahoo
Bing
Other
  What type of customer are you?
   OEM - Original Equipment Manufacturer
    Maintenance/Repair Organization
    Engineering Firm
   Other Specify:
    Monthly
    Quarterly
    Power Resistor (Element Only – please specify below)
   Watts:
   Current:
   Resistance:
   Duty Cycle:
    Neutral Grounding (please specify below)
   Line-Neutral Voltage:
    Initial Current:
    Maximum Time On:
   Required Resistance:
    Dynamic Braking (please specify below
   Watts:
   Ohms:
   Duty Cycle (time on/time off):
    Motor Control (please specify below)
   Application:
   Horsepower:
  Secondary Volts:
   Secondary Amps:
    Starting torque:
    #of speeds/steps:
   Duty/NEMA Class:
    Harmonic Filtering (please specify below)
   System Voltage:
    Power Rating (KW):
  Current:
   Resistance:
   Tolerance:
* = required field

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