REPRESENTATIVE INFORMATION
- If you are an MwT
Representative completing this form, this section is for you.
Otherwise, if you are a customer please scroll down to "Customer Contact
Information".
Rep Firm:
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Country:
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Afghanistan
Albania
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Brazil
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Bulgaria
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Canada
Cape Verde Islands
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Chad
Chile
China
Christmas Island
Cocos-Keeling Islands
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Congo
Cook Islands
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Croatia
Cuba
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Djibouti
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Guam
Guantanamo Bay
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Guinea
Guinea-Bissau
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INMARSAT
INMARSAT (Atlantic-East)
INMARSAT (Atlantic-West)
INMARSAT (Indian)
INMARSAT (Pacific)
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati Republic
Korea (North)
Korea (Republic of)
Kuwait
Kyrgyz Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte Island
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Rota Island
Russia
Rwanda
Saint Lucia
Saipan Island
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal Republic
Seychelle Islands
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Kitts
St. Pierre and Miquelon
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan, Republic of China
Tajikistan
Tanzania
Thailand
Tinian Island
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
USA
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Virgin Islands
Unknown
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Samoa
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Where should MwT ship
the samples?:
Customer
Rep
CUSTOMER CONTACT INFORMATION
First Name:
Last Name:
Company Name:
Address:
City
State:
(Two letter abbreviation)
Zip/Postal Code:
Country:
Please Select a Value
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos-Keeling Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Falkland Islands
Fiji Islands
Finland
France
French Antilles
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guantanamo Bay
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
INMARSAT
INMARSAT (Atlantic-East)
INMARSAT (Atlantic-West)
INMARSAT (Indian)
INMARSAT (Pacific)
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati Republic
Korea (North)
Korea (Republic of)
Kuwait
Kyrgyz Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte Island
Mexico
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Rota Island
Russia
Rwanda
Saint Lucia
Saipan Island
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal Republic
Seychelle Islands
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Kitts
St. Pierre and Miquelon
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan, Republic of China
Tajikistan
Tanzania
Thailand
Tinian Island
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
USA
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Virgin Islands
Unknown
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Samoa
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Email Address:
Phone Number:
Extension:
CUSTOMER'S
SPECIFICATION INFORMATION
NOTE: If you
are looking for a product similar to one of MwT's standard products listed
on this website, please print the data sheet from the website and mark up
your changes, then fax to 509-472-0255 along with your RFQ/Sample Request.
Application:
Form Factor:
Chip or Package Type: LCC, QFN, Surface Mount, Open Carrier, Connectorized?
Operating Frequency Range:
Minimum P1dB:
Minimum SSG:
Over what temperature range?
Noise Figure:
IP3:
Phase Noise:
Maximum Voltage:
Maximum Current:
Military or Commercial:
PROGRAM INFORMATION
Program
Name:
New Design or Replacement:
What is your
current solution if any?
What are the
issues with your current solution?
Expected Volume:
Timing To Production:
Pricing Target:
RFQ - Sample
INFORMATION
MwT Part No.:
Qty:
Samples:
Yes No
MwT Part No.:
Qty:
Samples:
Yes No
MwT Part No.:
Qty:
Samples:
Yes No
MwT Part No.:
Qty:
Samples:
Yes No
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