Custom Peripheral Switches

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Contact Information

First Name:

Last Name:

Customer Number:

Title:

Company:

Address 1:

Address 2:

City:

State:

Zip:

Is this a business or a home address?

Telephone:

Fax:

E-mail Address:

Required Response Date:

Order Date:

Expected Quantity:

Comments / Application Description:

* Indicates Required Field

Specifications

Black Box Custom Services helps our customers solve their unique connectivity problems. Completing this specification form will help you describe the switch you need. Please complete the form and e-mail any attachments that might help in the design to techsupport@blackbox.com. Experience the Black Box Customer Service difference! Need Help? Contact Tech Support at 724-746-5500.

Interface Type:


		RJ-11 (4-Wire)

RJ-11 (6-Wire)

RJ-45 (8-Wire)

RJ-45 (10-Wire)


		Coax

		50-Pin Berg
		Other

If other, please describe:

Switch Operation:

Manual

Electronic

Other:

Number of Positions:	Example: 2-1, 3-1, etc.

Enclosure:

Standalone

Rackmount

Custom Dimensions:

Yes

If yes:

Height:

Width:

Depth:

Special Dimension Instructions:

EMI/RFI Shielding:

Yes

No (if no, plastic will be used)

Lockable Switch:

Yes

Number of Keys:

Wiring Configuration:

Straight-through Pinning

Mixed Connectors

If mixed, specify pinning.
Example: DB25 to DB9
1 . . . . . . . . . 2
5 . . . . . . . . . 7
20 . . . . . . . . 9

Custom DIP Switch Settings:

Modification:

Straight-through Pinning

Modifying a Black Box® Product

Part Number:
(if modifying a Black Box Product)

Modification Details:

Will you be e-mailing us further specifications, diagrams, and drawings?

Yes

Please e-mail additional specifications to techsupport@blackbox.com