Custom Cable Assembly Request Form

  • All information provided below is kept confidential are are not sold or disclosed outside of the Lapp organization.
  • Lapp complies with the CAN-SPAM laws.
  • Field marked with an asterisk (*) are required.

<img style="vertical-align: baseline;" src="uploads/RTEmagicC_Harness_Assembly_Shop_Measurments_Request_Form.gif.gif" alt="" width="300" height="73">

CONTACT INFORMATION

CABLE ASSEMBLY

CONNECTOR B

ENVIRONMENT

CABLE SPECIFICATIONS


CONDUCTORS




SPECIAL REQUIREMENTS