Please print out, fill in and fax this form to (317) 776-1280, one for each coil you'd like for us to quote.


Coil- Quote Worksheet

Your part#___________

Annual Quantity___________


Please fill in as many of these dimensions as possible



Cord Length___________ 

Cord Gauge___________ 

Please circle the picture that best describes the location of the power cord as it exits the coil.