CUSTOM ANTENNA RFQ FORM

CUSTOMER INFORMATION (Required):
 
 Company Name: 

Contact Name: 
 Contact Telephone #:  Email Address: 

TYPE OF ANTENNA:
 
Portable Mobile
Straight Base Loaded Whip
Right Angle Magnet Mount Open Coil
Swivel Radome Closed Coil
Stud Mount Shock Spring
Base Stations
Parabolic Solid Dish Radome Yagi Antenna
Parabolic Grid Dish Marine Antenna
Omnidirectional Sector Antenna
Yagi Antenna Panel Antenna
 # of elements: 

BANDS:
 
Single Band Dual Band Tri-Band
 
FREQUENCY RANGE:
 
SMR (806-866MHz) AMPS (834-896MHz) UHF (424-470MHz)
GPS (1573-1578MHz) PCS (1850-1990MHz) ISM (902-928MHz)
VHF (144-174MHz) ISM (2400-2500MHz) to MHz 
 
ANTENNA ELECTRICAL LENGTH:
 
1/2 Wave  1/4 Wave  Other:
 
PERFORMANCE:
 
Gain   (Specify dBi/dBd) VSWR:  
Power Rating   Watts. Physical Length:  
Mounting Method   Termination Type: 
 
Qty. to be Quoted: (Required) Samples Required:
Target Price:
 
To order Connectors or Cable Assemblies, define requirements in the notes section.
Notes: