Custom Products www.vishay.com Vishay Dale / Vishay HiRel Custom Magnetics Information Request CONTACT INFORMATION Customer contact(s) Email Phone number Company / Location Sales contact Email Phone number Company APPLICATION INFORMATION Program name End product and application EAU Timing for sample Start of production Is this a new design? Yes No What is the target price? Who is the competition? What is the reason the customer is seeking another source for this part? If we are a second source, is there a sample available for our review? Is there a drawing of the part? Yes No If yes, please attach. Which, if any, certifications or qualifications are required? Is this an ITAR controlled drawing? Yes No Where will production product be shipped? Submit Form Revision: 19-Dec-14 Document Number: 34387 1 For technical questions, contact: [email protected] THIS DOCUMENT IS SUBJECT TO CHANGE WITHOUT NOTICE. THE PRODUCTS DESCRIBED HEREIN AND THIS DOCUMENT ARE SUBJECT TO SPECIFIC DISCLAIMERS, SET FORTH AT www.vishay.com/doc?91000