Medical QuestionnaireKeyWords:(Thermoelectric Cooler TEC Peltier)

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Medical Questionnaire

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Medical & Industrial - Applications Questionnaire

This form is designed to collect information about you and your product in order to help Marlow engineers better serve you. If you have any problem, links are available throughout the form to assist you. Clicking any of these links will open a separate browser window. You may also download a printable version of this Application Questionnaire (.pdf format) by clicking the link below.

Download Applications Questionnaire

Customer Information
First Name:
Middle Initial:
Last Name:
Company:
Title:
Address (Number and Street):
PO Box, Suite, Apt.
City:
State:
Zip:
E-Mail Address:
Phone:
Fax:
Response needed by date?

Product Application or Idea
Do you have any experience using TECs?
What do you want to cool/heat/control?
Explain the function of your product:

Total Heat Load:
Active Heat Load:
Passive Heat Load:
Radiant Heat Load:

Need help calculating heat loads? Click here (This form will remain open).
Target temperature to be achieved:
Maximum ambient temperature:
Temperature cycling expected?

Product Information
Do you have a product yet or is it just a concept at this time?
What market do you serve?
Is this a proprietary project or discussion?
Do you require a non-disclosure agreement?
What is your cost target for this project?
What is your approximate monthly/annual volume need for this project?
If you require immediate product for testing, how many units would you require?
What current cooling technology are you using?
Why are you considering TECs for this project?

Product Requirements
What are current/voltage limits or availability?
What is your environmental condition?
If air, what is your environments relative humitity?
What are if any, your dimensional limitations?

Additional Information
What type of heat sink are you using?
What material is the heat sink?
If using insulation, what is the material?
If using insulation, what thickness?
Are you interested in a Marlow assembly?
List any other Marlow products you are interested in:

Marlow Contact Information
For more information, please contact Marlow Industries at: 10451 Vista Park Road Dallas, Texas 75238-1645 Phone: 214-340-4900 Facsimile: 214-341-5212

For Defense, Space, Photonics 10451 Vista Park Road Dallas, Texas 75238-1645 Phone: 214-340-4900 Facsimile: 214-503-3334

For Commercial Cooling Systems 10451 Vista Park Road Dallas, Texas 75238-1645 Phone: 214-340-4900 Facsimile: 214-341-5212

For Telecom Components 10451 Vista Park Road Dallas, Texas 75238-1645 Phone: 214-340-4900 Facsimile: 214-341-5212

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