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Custom Cable Intake Form
Military aerospace cable assembly custom intake form.
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Company Name
(Required)
Company Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
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Belgium
Belize
Benin
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Bhutan
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Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
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Central African Republic
Chad
Chile
China
Christmas Island
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Congo
Congo, Democratic Republic of the
Cook Islands
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Croatia
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Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
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Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Do you have a custom cable drawing?
(Required)
Yes
No
Attachments:
Max. file size: 50 MB.
Attach technical drawing to help APCD better understand your custom cable requirements.
Cable Type
(Required)
MIL Spec
Hybrid
Coax
Other
Cable Function
(Required)
POWER
SIGNAL
DATA
RF
OTHER
Please specify OTHER cable function:
Shielding
Yes
No
Please specify type of shielding:
Cable Construction Type
(Required)
Twisted Pair
Multi-Conductor
COAX
Ribbon
OTHER
Please specify OTHER cable construction type:
Voltage Rating:
Current Rating:
Operating Temperature Rating:
Environmental Exposure (choose all that apply)
High Vibration
Altitude
EMI/RFI
Water Resistance/Immersion
OTHER
Please specify OTHER environmental exposure:
Cable Weight (MAX):
Specifications (choose all that apply):
(Required)
IPC/WHMA-A-620
RoHS
DFARS
ITAR Compliant
Other
Please specify OTHER specification:
Manufacturing/Operation Reports (choose all that apply):
Certificate of Conformance
Test Reports
First Article Inspection
Source Inspection
OTHER
Please specify OTHER manufacturing/operation report:
Connector Type
MIL-DTL-38999
Micro 38999
MIL-DTL-5015
MIL-DTL-26482
D-Sub
OTHER
Please specify OTHER connector type:
Does Cable require Backshell/Strain Relief?
Yes
No
Backshell/Strain relief need to be:
Mechanical
Molded
Cable Termination Type:
Crimp
Solder
OTHER
Please specify OTHER cable termination type:
Cable Length (each):
Cable Quantity:
Custom Cable Details:
Additional information to better understand your custom cable requirements.
Other Attachments:
Drop files here or
Select files
Max. file size: 50 MB, Max. files: 5.
Attach spec sheets, or layout diagrams that will help APCD better understand your custom cable requirements.
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