Your Name: Your Title: Your Company: Email Address: Telephone: FAX: Street Address: (Company)
City, State, Zip: Country: Tuning Range: Passband Bandwidth: (Channel 1) Passband Bandwidth: (Channel 2) Passband Insertion Loss: (dB Max Channel 1) Passband Insertion Loss: (dB Max Channel 2) Isolation Between Channels: Channel Offset:
Power Handling: Connector/Flange type:
Physical Size Constraints:
Please provide your contact information and any other comments or information that is pertinent: