Silver EXpress Custom Snake.

4001 WEST BURBANK BOULEVARD, BURBANK, CA 91505 Professionals Serving Professionals Since 1957 Open 9am - 6pm, Monday - Saturday (818) 842-5275 Counter Sales (818) 842-0419 FAX

Silver Express custom audio snake
quote request form

If you have comments about this form, send them to howardp@electroniccity.com, thank you.

Please fill in the following form to let us know what type of cable you are looking for. If you have no preference on an option or do not know what is required, leave it blank, this makes it easier and faster to get an accurate quote. If an item has an * it is required information.

*** This is not an order form, this is only a request for quote! ***

	Cable end 1	Cable end 2
Contact Information
Name *
Company
Phone *
FAX
EMAIL *
Equipment to be connected
Signal type *
Connectors Required on cable *
How many channels do you need? *	Cable Length *
	How soon do you need this?
	Special requests :
	Standard cable termination is with an 18 inch center breakout. Standard connector finish is Black & contacts are Silver.

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Last Updated 28-Feb-1998, send comments to howardp@electroniccity.com