Assembly Request Form
Custom Military Assembly Request Form
* Cable Information
* Do you have a drawing?
* Do you have a pinout?
(Please forward your confirmation email after submitting this form to
, attaching your drawings/pinout diagrams.)
* Initial Qty:
* Future Qty:
* Projected Lead Time:
Target Price Per Assembly:
1506 Interstate 35W, Denton, Texas 76207-2402
Toll Free: 866.524.1553 Direct: 940.484.9400 Fax: 940.591.7086
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