R.C. Electronics Inc. - Request Signal Conditioning Info.

<body bgcolor="#FFFFFF" text="#000000"> <form method="POST" name="sig.cond.form" action="http://www.sb.net/cgi-bin/mailto"> <input type="hidden" name="recipient" value="info@rcelectronics.com"><input type="hidden" name="subject" value="Signal Conditioning Amplifier Form Results"><input type="hidden" name="required_fields" value="Name, Company, Street_Address, City, State, Zip, Country, E-mail, Phone"><input type="hidden" name="followup-page" value="http://www.rcelectronics.com/request/thanks1.htm"><b><font SIZE="+1" FACE="Arial,Helvetica"><div align="center"><center><p></font><font face="Arial,Helvetica" size="3">Signal Conditioning Amplifier Information Request</font></b><br> <font SIZE="-1" FACE="Arial,Helvetica">(</font><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b>red</b></font><font SIZE="-1" FACE="Arial,Helvetica"> fields are required)</font> </p> </center></div><table BORDER="0" CELLSPACING="0" CELLPADDING="2" WIDTH="98%"> <tr> <td ALIGN="RIGHT"></td> <td></td> <td></td> <td></td> </tr> <tr> <td ALIGN="RIGHT"><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b>Name:</b></font></td> <td><input type="text" name="Name" size="20"></td> <td><font SIZE="-1" FACE="Arial,Helvetica"><div align="right"><p>Title:</font> </td> <td><input type="text" name="Title" size="20"></td> </tr> <tr> <td ALIGN="RIGHT"><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b><div align="right"><p>Company:</b></font> </td> <td><input type="text" name="Company" size="20"></td> <td><font SIZE="-1" FACE="Arial,Helvetica"><div align="right"><p>Department:</font> </td> <td><input type="text" name="Department" size="20"></td> </tr> <tr> <td ALIGN="RIGHT"><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b><div align="right"><p>Street Address:</b></font> </td> <td><input type="text" name="Street_Address" size="20"></td> <td><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b><div align="right"><p>City:</b></font> </td> <td><input type="text" name="City" size="20"></td> </tr> <tr> <td ALIGN="RIGHT"><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b><div align="right"><p>State:</b></font> </td> <td><input type="text" name="State" size="2"></td> <td><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b><div align="right"><p>Zip:</b></font> </td> <td><input type="text" name="Zip" size="10"></td> </tr> <tr> <td><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b><div align="right"><p>Country:</b></font> </td> <td><input type="text" name="Country" size="10" style="font-family: sans-serif; font-size: 10pt" value="USA"></td> <td><font SIZE="-1" FACE="Arial,Helvetica"><div align="right"><p></font><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><strong>E-mail:</strong></font> </td> <td><input type="text" name="E-mail" size="20"></td> </tr> <tr> <td ALIGN="RIGHT"><font COLOR="#FF0000" SIZE="-1" FACE="Arial,Helvetica"><b><div align="right"><p>Phone:</b></font> </td> <td><input type="text" name="Phone" size="12"></td> <td><font SIZE="-1" FACE="Arial,Helvetica"><div align="right"><p>FAX:</font> </td> <td><input type="text" name="fax:" size="12"></td> </tr> <tr> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td><font SIZE="-1" FACE="Arial,Helvetica"><div align="right"><p>Purchasing Time Frame:</font> </td> <td><input type="text" name="time_frame" size="20"></td> <td><font SIZE="-1" FACE="Arial,Helvetica"><div align="right"><p>Application:</font> </td> <td><input type="text" name="application" size="20"></td> </tr> </table> <hr NOSHADE WIDTH="754"> <font face="Arial,Helvetica"><b><p>Your Signal Conditioning Amplifier needs are:</b></font> <br> <font SIZE="-1" FACE="Arial,Helvetica"><b> </b></font> </p> <table BORDER="0" CELLSPACING="0" CELLPADDING="0"> <tr> <td COLSPAN="5" width="318"><em><strong><font SIZE="-1" FACE="Arial,Helvetica">Input Requirement:</font></strong></em></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="radio" name="Input_Requirement" value="Manual"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Manual</font></td> <td width="25"><input type="radio" name="Input_Requirement" value="Programmable"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">Programmable</font></td> </tr> <tr> <td width="40"><em><strong><font SIZE="-1" FACE="Arial,Helvetica"><br> Sensor:</font></strong></em></td> <td width="25"></td> <td></td> <td width="25"></td> <td width="95"></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Accelerometer" value="Yes"></td> <td COLSPAN="3"><font SIZE="-1" FACE="Arial,Helvetica">Accelerometer:</font></td> </tr> <tr> <td width="40"></td> <td width="25"></td> <td width="150" colspan="3"><input type="checkbox" name="Accelerometer" value="Amplifier"><font SIZE="-1" FACE="Arial,Helvetica">Charge Amplifier</font></td> <td width="25"></td> </tr> <tr> <td width="40"></td> <td width="25"></td> <td width="150" colspan="3"><input type="checkbox" name="Accelerometer" value="Constant_Current"><font SIZE="-1" FACE="Arial,Helvetica">Constant Current</font></td> <td width="25"></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Accelerometer" value="Differential_Amplifier"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Differential Amplifier</font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Strain" value="Yes"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Strain</font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="LVDT/DCDT" value="Yes"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">LVDT/DCDT</font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Frequency_to_Voltage" value="Yes"></td> <td COLSPAN="3" width="253"><font SIZE="-1" FACE="Arial,Helvetica">Frequency to Voltage</font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Counter/Diverter/(Quadrature_Encoders)" value="Yes"></td> <td COLSPAN="5" WIDTH="383"><font SIZE="-1" FACE="Arial,Helvetica">Counter/Divider/(Quadrature Encoders)</font></td> </tr> <tr> <td width="40" rowspan="2"></td> <td width="25"><input type="checkbox" name="Pulse_Width_Modulation" value="Yes"></td> <td COLSPAN="5" width="383"><font SIZE="-1" FACE="Arial,Helvetica">Pulse Width Modulation </font></td> <td width="10" rowspan="2"></td> </tr> <tr> <td width="25"></td> <td COLSPAN="5" width="383"><font SIZE="-1" FACE="Arial,Helvetica">(Fuel Injection/Anti-Lock Brakes/Pressure Transducers)</font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Thermocouples" value="Yes"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Thermocouples</font></td> <td width="25"></td> <td width="95"></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="RTD" value="Yes"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">RTD</font></td> <td width="25"></td> <td width="95"></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="other" value="Yes"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Other </font><input type="text" name="other_text" size="5"></td> <td width="25"></td> <td width="95"></td> </tr> <tr> <td COLSPAN="5" width="318"><font SIZE="-1" FACE="Arial,Helvetica"><em><strong><br> Channel Requirements</strong></em>: </font><input type="text" name="Channel_Requirements" size="4"></td> </tr> <tr> <td COLSPAN="5" width="318"><em><strong><font SIZE="-1" FACE="Arial,Helvetica"><br> Frequency Response:</font></strong></em></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="1Hz"></td> <td><font SIZE="-1" FACE="Arial,Helvetica"><1 Hz</font></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="20kHz"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">1 kHz-20 kHz</font></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="100kHz"></td> <td width="110"><font SIZE="-1" FACE="Arial,Helvetica">80 kHz-100 kHz </font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="10Hz"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">1 Hz-10 Hz</font></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="40kHz"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">20 kHz-40 kHz</font></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="1MHz"></td> <td width="110"><font SIZE="-1" FACE="Arial,Helvetica">100 kHz-1 MHz</font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="1kHz"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">10 Hz-1 kHz</font></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="80kHz"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">40 kHz-80 kHz</font></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="10MHz"></td> <td width="110"><font SIZE="-1" FACE="Arial,Helvetica">1 MHz-10 MHz</font></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Frequency_Response" value="other"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Other </font><input type="text" name="Frequency_Response_other_text1" size="6"></td> <td></td> <td width="95"></td> <td width="25"></td> <td width="105"></td> </tr> <tr> <td COLSPAN="5" width="318"><em><strong><font SIZE="-1" FACE="Arial,Helvetica"><br> Common Mode Voltage:</font></strong></em></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Common_Mode_voltage" value="10V"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">10V</font></td> <td width="25"><input type="checkbox" name="Common_Mode_voltage" value="300V"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">300V</font></td> </tr> <tr> <td width="40"></td> <td width="25"></td> <td></td> <td width="25"></td> <td width="95"></td> </tr> <tr> <td COLSPAN="5" width="318"><em><strong><font SIZE="-1" FACE="Arial,Helvetica"><br> Output:</font></strong></em></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Output" value="Single"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Single</font></td> <td width="25"><input type="checkbox" name="Output" value="Dual"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">Dual</font></td> <td width="25"><input type="checkbox" name="Output" value="Triple"></td> <td width="105"><font SIZE="-1" FACE="Arial,Helvetica">Triple</font></td> </tr> <tr> <td COLSPAN="5" width="318"><em><strong><font SIZE="-1" FACE="Arial,Helvetica"><br> Calibration:</font></strong></em></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Calibration" value="Internal"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Internal</font></td> <td width="25"><input type="checkbox" name="Calibration" value="External"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">External</font></td> </tr> <tr> <td COLSPAN="5" width="318"><em><strong><font SIZE="-1" FACE="Arial,Helvetica"><br> Excitation:</font></strong></em></td> </tr> <tr> <td width="40"></td> <td width="25"><input type="checkbox" name="Excitation" value="Voltage"></td> <td><font SIZE="-1" FACE="Arial,Helvetica">Voltage</font></td> <td width="25"><input type="checkbox" name="Excitation" value="Current"></td> <td width="95"><font SIZE="-1" FACE="Arial,Helvetica">Current</font></td> </tr> <tr> <td COLSPAN="8" width="318"><font SIZE="-1" FACE="Arial,Helvetica"><em><strong><br> How you heard of  R.C. Electronics and other comments:</strong></em> </font> <br> <textarea rows="3" name="how_I_heard_of_RC" cols="40"></textarea></td> </tr> <tr> <td width="40"></td> <td COLSPAN="5"><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></td> </tr> </table> </form>  <p align="center"><img src="../images/red1.gif" alt="R.C. Electronics logo" WIDTH="142" HEIGHT="48"></p> <p align="center"><font size="2" face="Arial">6464 Hollister Avenue<br> Santa Barbara, CA 93117<br> Phone: (805) 685-7770<br> FAX: (805) 685-5853<br> <a href="index.htm">info@rcelectronics.com</a></font></p> <p align="center"> </p> <p align="center"><font face="Arial" size="1"><a href="../products/index.htm">Products</a>    <a href="index.htm">Contact Us</a>    <a href="../notes/index.htm">Application Notes</a>     <a href="add_email.htm">Join E-mail List</a>     <a href="../replist.htm">Representatives</a>     <a href="../calendar.htm">Event Calendar</a>    <a target="_top" href="../index.htm">Home</a></font></p>  </body>