Company Name    Your Name 

Address     City/ST/Zip 

Phone:       Fax     E-mail 

Do you have drawings for the probe  Yes  No

What type of probe:

                        RTD   (complete below)             Thermistor (complete below)      Thermocouple (complete below)

Quantity                                                  

Rated                 100 ohms @ 0.0ºC                      NTC or PTC                          Type J

                          1000 ohms @  0.0ºC                   4K ohms @  25ºC                         Type K

                             Other              10K ohms @  25ºC                       Type E

                                                                                   20 K ohms @  25ºC                     Type T

                                                                                   100K ohms@  25ºC                      other

Tolerance            .06%, 1/2 DIN, Class A              1 %                                             Standard

                            .12 %, DIN, Class B                   2 %                                             Special

                            .50%, 4 DIN, Class D                                                                        Special notes

Sheath Type                         

Sheath Material                     

Sheath OD                          

Sheath length                        

Fitting Size                           

Lead Wire (include unit of measurement)

  Length                                                                   

  Gauge                                                                   

  Strands                                                                   

  Jacket material                                                      

  Other                                                                    

Termination

  Stripped length                                                          

  Connector                                                             

  other                                                                      

Notes                 

How did you hear about Probes Unlimited, Inc.? 

Please Fill out this form and e-mail it to us by clicking Submit, or send it to sales@temp-probes.com, or print and fax it to 1-800-221-8660