Application Questionnaire

By filling out and sending the form below, we can help you determine the appropriate product(s) for your application(s).  

General Information

   A.  System Topology:

  Point-to-Point
  Multi-Drop
  Bus or String
  Ring: Single Fiber
  Ring: Dual Fiber (Self Healing)
  Star
  Other:


   B.  Type of Device Required:

  Modem
  Multiplexer
  Mode Converter
  Media Converter
  Transceiver
  Repeater
  WDM
  Other:

Electrical Specifications

   C.  Electrical
        Interface:

  RS-232
  RS-366
  RS-422
  RS-449
  RS-485 (2-wire)
  RS-485 (4-wire)
  RS-530
  V.35
  T1
  E1 (75 Ohm)
  E1 (120 Ohm)
  T3


   D.  Electrical Interface
        (Con't):

  E3  
  UTP (10Base-T)
  UTP (100Base-T)
  UTP (1000Base-T)
  Audio - 600 Ohm
  Telephone (2-wire)
  Dry Contact (Detect)
  Dry Contact (Relay)
  TTL
  Voice/Intercom
  Other:


   E.  Clock Type:

  Asynchronous (No Clock)
  Synchronous - Internal Clock
  Synchronous - External Clock
  Other:


   F.  Transmission Speed:

   Data Rate =


   G.  Control Signals:

  RTS
  CTS
  DTR
  CTR
  CD
  None

  Other


   H.  Your Device Type:

  DTE
  DCE
  Half Duplex
  Full Duplex
  Other:


   I.  Power Source

  12 VDC
  24 VDC
  -48 VDC
  125 VDC
  115 VAC
  230 VAC
  Other:

Fiber Optic Specifications


  J.  Type of Fiber Cable:

  MM (62.5/125µm)
  SM (9/125µm)

  Other:


   K.  Distance Between Devices:

   Miles

   Kilometers

  
   L.  Fiber Optic
        Connector:

  ST
  FC
  SC
  SMA
  Other:


   M.  Number of Fibers Between
          Devices:

  One - Simplex Transmission
  One - Duplex Transmision
  Two - Duplex Transmision
  Other:


   N.  Actual Loss on Fiber Link:

  dB (850nm MM) 
     dB (1300nm MM)
    dB (1300nm SM)
    dB (1550nm SM)

 

 

How to Contact You
	      Name:    Title: 
           Company: 
          Address1: 
          Address2: 
    City,State,Zip:  Country: 

            E-mail: 
             Phone: 
               FAX:  
               Please have a salesperson contact me

                  Comments:  


© 2007, TC Communications, Inc.  All rights reserved.
17881 Cartwright Road - Irvine, CA 92614
Tel:(949)852-1972, Sales:(800)569-4736
Fax:(949)852-1948, Email: sales@tccomm.com

Page Last Updated: 07/24/2007