Battery Quotation Request Form

Quotation Request Form for Battery, Supercapacitor, or Electrochemical Test Systems

Please answer the following questions to better help us understand your requirements. If you do not know an answer to one of the questions, or if the question does not apply to your application, please leave that question blank. We will contact you at the information provided if we have any questions following your submission.

* Indicates required fields.

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Application:

1. What chemistry is your device? *

Lithium Chemistry
Nickel Chemistry
Lead Acid Chemistry
Supercapacitor
Other, please describe below:

2. Do you test single cells or packs?

Single Cells
Pack

3. Please describe your application in detail. *

4. How many independant channels do you need? Note: 1 test object/device requires 1 test channel. *

test channels

5. What is the MAXIMUM voltage required on charge (including overcharge)? *

Volts

6. What is the MINIMUM voltage required on DISCHARGE? *

Volts

7. What are the maximum currents required for charge and discharge? *

Charging Amps

Discharging Amps

8. What is the smallest current you need to control or measure? *

Amps

9. What is the maximum charge and discharge power? *

Charging Watts

Discharging Watts

10. Please select the auxiliary measurment channel type and quantity required.

Auxiliary Voltage

Quantity:

Temperature

Quantity:

Pressure

Quantity:

Other, please describe below:

11. Do you have a particular budget that you would like for us to know about?

Budget

12. When do you plan to purchase? *

<2 weeks
2 to 4 weeks
1 to 3 months
3 to 12 months
1 year or more

13. How did you learn about Arbin Instruments? *

Magazine
Internet Search
Trade Shows
Word of Mouth
Colleague Recomendation	Who?
Previous Experience	Where?
Other, please explain:

14. Other Comments or Information we should know about?

Contact Information:

*First Name:

*Last Name:

*Company or Institution Name:

*Physical or Shipping Address

*Primary Phone Number:

Secondary Phone Number

*Email Address:

762 Peach Creek Cut Off Rd. College Station, TX 77845, USA Phone: (979) 690-2751 Fax: (979) 690-2761