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Custom Military Assembly Request Form

* Cable Information
 
  Cable Description   Connectors Description  
     
 
Application		      
       
 
 
* Do you have a drawing?          
 
* Do you have a pinout?          
 
  
(Please forward your confirmation email after submitting this form to militarysales@milestek.com, attaching your drawings/pinout diagrams.)
 
* Initial Qty:  
 
* Future Qty:  
 
* Projected Lead Time:  
 
Target Price Per Assembly:  
 
Additional Comments		      
       
 


 
 

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1506 Interstate 35W, Denton, Texas 76207-2402
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