Name* First Last Company Email* Phone*FaxAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Previous Customer or Kern Quote (if any) Spec Type* Circular Rectangular Bulkhead Other Other Cable or Wire Bundle DiameterDescription of Cable Make-Up*Attach Documents Drop files here or Select files Accepted file types: stl, step, ipt, idw, iges, dwg, stl, step, ipt, idw, iges, dwg, Max. file size: 5 MB. Please use descriptive file titles. Allowed File Types: STL, STEP, IPT, IDW, IGES, DWGRestrictionsSize, Shape, Weight, etc*Attach Sketches (if necessary) Drop files here or Select files Accepted file types: stl, step, ipt, idw, iges, dwg, stl, step, ipt, idw, iges, dwg, Max. file size: 5 MB. Please use descriptive file titles. Allowed File Types: STL, STEP, IPT, IDW, IGES, DWGPerformance RequiredPlease Make Your Selections* Water tight Strain relief Moisture resistant Shield termination Limited working room MS performance requirements Regulatory requirements Repairable Potted or Molded Light duty per MIL-C-85049 Medium duty Per MIL-C-85049 Heavy duty per MIL-C-85049 Enviromental backshell Other Other Termination and DesignsPlease Make Your Selections Multiple contact rings Single ring, Internal/External Castellated or splined rings Band-it-band Lampbase thread ring Crimp ring Radial compression spring Magformed or crimp ring with shield sock and shrink boot Other Other Additional InformationNotesAdditional Files Drop files here or Select files Accepted file types: stl, step, ipt, idw, iges, dwg, stl, step, ipt, idw, iges, dwg, Max. file size: 5 MB. Please use descriptive file titles. Allowed File Types: STL, STEP, IPT, IDW, IGES, DWGNameThis field is for validation purposes and should be left unchanged.
