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Please complete the Sample Request form below and a
Customer Service Representative will contact you.

Each sample request requires a new submittal form

Datatronics Part Number      Customer Part Number   

Sample Quantity Needed  *      Expected Production Needed  *  

First Name * 

Last Name * 


Additional Information:
What is your design application (e.g, power supply, medical product, military product)

When do you plan to order:   30 Days 

    60 Days     Longer

Company *  



Zip Code *  

Phone Nunber *  

Email Address *  

 * Required

 28151 Highway 74
 Menifee, CA
 Tele: 951-928-7700 FAX: 951-928-7701