Samtec | Signal Integrity Services | High Speed Cable Request Form

Please fill out the information below. Fields marked with [*] are required. When you have completed the form, click the Submit Request Form button at the bottom of the page.

If you have any questions about our High Speed Cable Request Form or on Samtec’s High Speed cable capabilities, you can contact our High Speed Cable Group or call them directly at 800-726-8329 (+812-944-6733).

Contact Information

First Name:	*
Last Name:	*
Title:
Phone Number:	*
Fax Number:
Email Address:	*
Confirm Email Address:	*
Country:	*
Company:	*
Address:	*


City:	*
State/Province:	*
Postal/Zip Code:	*

Application Information
Single-Ended or Differential
System Impedance	Ohms
Unit Length	inches
Insertion Loss (Attenuation)	-dB
Bandwidth/Frequency (Typical)	GHz
Bandwidth/Frequency Spec
Allowable Return Loss	-dB
NEXT	%
FEXT	%
Number of Signals
Prop Delay	Picoseconds
Skew	Picoseconds
Data Encoding	(Examples = Binary, PAM- 2, PAM-4)
Within the rack or rack-to-rack?
Number of Mating Cycles
Target Price	USDollars
Prototype Quantity
Prototype Quantity Start Date
Production EAU
Production Start Date
Description/Explanation of Application