Conquest Technical Sales "A Professional
Sales Organization"
January 24, 2018

Request Form

Please fill out this form so we can respond to your specific needs:
(Fields with "***" are required.)

First Name: *** Last Name: ***
Job Title:
City: State:
Zip: Country:
Phone: *** Fax:
Email: *** Cell:

Please list your PRODUCTS OF INTEREST:

Power Supplies
up to 125W 150W - 400W 600W - 7,500W AC/DC

Single Output Multiple Output PFC Universal Input DC/DC Custom

Wallmount PCB Mount Chargers Internal Supply External Supply

Rack-Mount Supplies Uninterruptable Power Supplies Inverters

Alkaline NiMH NiCad Lith Ion

SLA Lith Polymer Custom Packs/Assemblies

AC Fans DC Fans

Card Guides
Guides Card Extractor Tools Card Cages

Custom Cable Assemblies
Custom Cable Assemblies

Commodity Application Specific

More Detailed Requests:

What is your Application?
End Product?
Project Name?
Project Engineer's Name?
Project Engineer's email?

Potential Annual Production Quantities?
1,000 pcs

Production Start Date:

Need Sample: Number of Samples:
Part Number:

If you completed the above form, please submit your request by pressing the send button below. Due to the volume of inquiries, completely filled out request forms will be processed sooner. Thank you for your interest.

We've Moved! Please visit us at our new Orange County office! Click HERE for more information.

Proud members of:

Proud members of ERA

Conquest Technical Sales - 181 West Avenida de las Flores - Thousand Oaks, California 91360
Office: (805) 241-5118 - Fax: (805) 241-5119
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