Contact InformationAccount # Name* First Last Company Phone** Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country 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 Email* ChemistryDoes your battery need to be rechargeable? This will help in determining the chemistry to use.RechargeableNon-rechargeableRechargableNickel Cadmium (NiCad), 1.2 volts per cellNickel Metal Hydride (Ni-Mh), 1.2 volts per cellNon-rechargeableCarbon Zinc or Alkaline, 1.5 volts per cellLithium Coin (Li), 3 volts per cellLithium Thionyl Chloride (Li/SOCL2), 3.6 volts per cellElectrical RequirementsVoltage: What is the voltage of your pack? To calculate the voltage, simply multiply the voltage per cell for the finished voltage. Adding cells in a series increases voltage. Example: 3 cells x 2 volt ea. = 6 volt pack Operating Voltage:Maximum Nominal Minimum (cut-off) Amperage/ Capacity: What is the amperage of your battery? This helps determine the cell size. Cell sizes are not mixed when assembling a battery pack. Adding cells in parallel increases amperage.Constant Current Pulse Current (lp) Duration Constant CurrentuAmAmAAuAMillisecondsSecondsMinutesHoursEvery Expected Operating Life Storage of battery before use: MillisecondsSecondsMinutesHoursDaysWeeksMonthsYearsYearsMonthsYearsMonthsConfigurationWhere does this battery need to fit? By aligning the cells in various ways, the voltage and amperage can remain the same, yet the packs can be made to fit almost anywhere. Linear or F Type Multi-Row Cells Nested Type Cells Face centered Cubic Circular Type Cells (3-cell pack/ 4-cell pack) Linear or L-Type Cells TerminationHow is the battery pack going to give its power and accept a charge if needed? We can add nickel tabs for soldering to, or wires for connections, or reuse your previous connector if you're replacing an existing pack. Nickel Tabs Wires Connector Nickel Tabs - Length Nickel Tabs - Width MillimetersInchesUntitledMillimetersInchesWires Length Wires - AWG Wires - Material MillimetersInchesMillimetersInchesConnector - Manufacturer? Connector - P/N? Connector - Pin Orientation? Connector - Crimp P/N? Cell SizePlease specify cell sizeAAA5/4 AAA5/3 AAA1/3 AA1/2 AAAA2/3 AA4/5 AA2/3 sub-Csub-C1/2 CC1/2 DDFMax Length Available (mm) Max Width Available (mm) Max Height Available (mm) Assembled Pack DimensionsMax Space Available (mm):Length Width Height Estimated Annual Requirement1st Year 2nd Year 3rd Year Qualification Testing and/or CertificationDo you have Qualification or Certification test results for this pack?YesNoUploadMax. file size: 50 MB.Do you want a quote?YesNoCAPTCHA Δ
