Rosslare Group of Companies
 
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Inquiry form
Home: Contact us: Request For Quote / Inquiry Form
 
 
Request For Quote / Inquiry Form

To find out how you can get direct help, please contact your nearest Regional Support Center or fill in the inquiry form below.

* Required Fields
First Name*:   Last Name*:
Company*:
Phone Number*:   Fax Number*:
E-Mail Address*:
City*:   State:
ZIP/Postcode:   Country*:
Region*:
Prototype New Project      Exiting Project
 
Application*:
Estimated Annual Quantity*: 
Cell & Pack Information*: 
Preferred Cell Manufacturer:
Battery Type:
(Size: AA, 4/5A,etc) :
Pack Voltage*:   Capacity*:
Max Discharge Rate*:
Max Charge Rate:   Run Time:
Safety Protection: 
Charge Method: 
Charge Rate (Amps):  Charge Termination:
 
Operating Temp Range:
Min:  Max:
 
Pack Exterior:
Rigid:  label wrap:
 
Maximum Pack Dimensions:
Length:        Width:        Height:
 
Minimum Pack Dimensions:
Length:        Width:        Height:
 
Termination: Provide manufacturer part number of housing and pins for connectors
Shrink Wrap (color, etc)
 
Additional Comments or Questions:
 


 
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