Sensor
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* Required Field

Contact Information
Company Name:  *
Contact Name:  *

Phone Number: 

*
Fax Number: 
Email Address:  *

How did you hear about GVP Inc.?: 

If Other, list here: 

Part Information
Part Number:  *
Expected Annual Usage:  *
Requested Tolerance +/-:  *
Material Required:  *
Required Overall Thickness: 

Is this sensor in the prototype stage?: 

Yes   No
Do you have a print?:  Yes   No
Do you have an established pin-out?:  Yes   No
Do you have an existing digital file?:  Yes   No
Do you have existing tooling?:  Yes   No

Overall Sensor Dimensions: 
(including the tail)   

*
Tail Length: 
Location of the Tail:  Internal   External
Number of Sensor Layers: 
Does this sensor need to be shielded or grounded?:  Yes   No
If yes, does it require its own tail?:  Yes   No
Does not apply

Actuation Type: 

*
If Other, list here: 
Number of Contacts:  *

Number of Pins: 

*
Dimension on-center for the Pins: 
Termination Type:  *
If Other, list here: 
Does this sensor require carbon on the tail?:  Yes   No
Does not apply
Is the housing latched or unlatched?:  Latched   Unlatched
Does not apply

Environmental Information
Operating Environment:  *
Specific Operating Conditions: 
(Extreme Heat or Cold, High Humidity...etc.)   
What chemicals will this be exposed to?: 

Specific Gel Requirments: 


Type of Application: 


What type of material will this sensor be applied to?: 

HSE   LSE
Metal   Other*
If other, please list type: 

Is this a disposable, one time use sensor?: 

Yes   No
Required Actuation Life: 

Does this sensor require Medical Grade Components?: 

Yes   No
Is this sensor applied directly to the skin?:  Yes   No

Other Details / Instructions


   


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  Pad Printing

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Phone   612.827.8216 -- Fax   612.824.8708 -- Toll Free   800.959.0947
Email Sales at: sales@gvp-inc.net