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Custom Battery Quote Form
Fill out this form and submit it to us. The "Required Fields" must be filled in or the form will not be received by us. We will contact you shortly to confirm your needs.
Fields marked with an asterisk (*) are required.
Company Name
Date
MM
/
DD
/
YYYY
Name
First
Last
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Email
Phone
###
-
###
-
####
Type of Customer
New Customer
Existing Customer
Project Name
Application Information - General
Product Deliverables
Estimated Annual Usage
*
Quantity of Prototype Units Needed
Prototype Units Needed By
MM
/
DD
/
YYYY
Quantity of Production Units Needed
Production Units Needed By
MM
/
DD
/
YYYY
Battery Chemistry (Rechargeable)
Li-ion
Li-Polymer
LiFeP04
Ni-MH
Ni-Cad
SLA
Pack Cell Configuration
Cells in Series
Please select
1
2
3
4
5
6
7
8
9
10
11
12
Other (Series)
Enter how many
Cells in Parallel
Please select
1
2
3
4
5
6
7
8
9
10
11
12
Pack Enclosure Type
Hardshell (plastic)
Soft (shrink)
Metal
Other (specify below)
Specify Other Pack Enclosure Type
Enter how many
Pack Dimensions (inches)
Length
Width
Height
Pack Dimensions Entered Are
Approximate
Maximum
Note: These dimensions represent the working area of the pack that Ttek Assemblies can design to. This total volume includes the cells, circuit board(s), insulators, shrink wrap and wiring as a minimum. Allow for adequate space in your device side battery compartment design to ensure proper fit.
Pack Parameters
Voltage (Nom)
Enter how many
Capacity (Nom)
Enter how many
Operating Temperatures
Temperature (Minimum - Celsius)
Enter how many
Temperature (Maximum - Celsius)
Enter how many
Pack Options (Select all that apply)
Protection Circuit
Fuel Gauge
Thermistor
Fuse
PTC/Polyfuse
PEPI
Diode
TCO
Other (specify below)
Specify other pack options here
If a fuel gauge is required, indicate form:
Display
SMBus
I2C
HDQ
DQ
Other (specify below)
Specify other fuel gauge options here
Charger Parameters
External Charger (stand-alone)
Integrated Charger (Host)
Integrated Charger (Pack)
Discharge Parameters
Continuous Current (A)
Expected Run Time (minutes)
Peak Current (A)
Peak Current Duration (secs)
Peak Current Duration (secs)
Detailed System Load Profile will be provided prior to design pahse
Pack Termination
Stripped Wire
Harness/Connector
Contacts
Other (specify below)
Specify other pack termination requirements
Application Information - Regulatory
Required Regulatory / Certification Tests
UL
IEC 62133
CE
Other