Personal Information

—–
*First Name    *Last Name
*Company
Title
Address 1
Address 2
City
State   Zip
*Daytime Phone

   Ext.
Fax

*Email Address
*Contact Preference Phone
Fax
Email

Product Information

*Filter Type Bandpass
Lowpass
Highpass
Notch
*Center Frequency (Bandpass/Notch)   MHz
*Bandwidth (Bandpass/Notch) -or- Cutoff Frequency (Lowpass/Highpass) 3dB

dB=
MHz
Insertion Loss dB@
CFor
Passband
VSWR : 1@
CFor
Passband
Attenuation dBa (absolute attenuation)or
dBc (relative to the insertion loss)
dB@
MHz
dB@
MHz
dB@
MHz
dB@
MHz
*Connectors Input
Output
*Controlling Factor Small Package Size
Low Insertion Loss
*Quantity
Program Name (if applicable)
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