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Kepco Power Solutions
718-461-7000
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MODIFICATION
REQUEST
If you've seen a Kepco Power Supply that looks like it could fulfill your requirement, except for some parameters that don't meet your specs, let us know. In many cases we can economically custom modify our power supplies to give you a solution that exactly matches your requirements at a competitive price.

Tell us which models you think would be suitable, let us know which critical parameters don't match your requirements, give us your specs, and we'll try to come up with a solution that works.

(See Privacy statement.)

REQUEST FOR MODIFICATION OF STANDARD MODEL
Required information is indicated in RED type.
YOUR PROJECT NAME:
 
Model Number
1st Choice:
2nd Choice:
No. of Units needed:
For quantity discounts please use Additional Information box to indicate models, quantities and delivery requirements (if known).
Critical Parameters that need modification
Output Voltage:
Output Current:
Parameter 1:
Parameter 2:
Additional Information
(Please include any other special requirements or additional parameters to modify)
CONTACT INFORMATION
Required information is indicated in BOLD type.
Name:
Company Name:
STREET:
CITY:
STATE:
ZIP:
COUNTRY:
E-Mail:
Telephone No.:
FAX No.:
Do you need to speak to an Applications Engineer
regarding any unresolved concerns? 		     Yes      No
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KEPCO INFORMATION
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What happens to information collected by Kepco

Personal or credit card information supplied to Kepco is used to better serve our customers and is never sold, rented or traded. The e-mail addresses of those who communicate with us via e-mail, and any information volunteered by the customer, such as survey information, site registrations, or e-commerce is used to contact customers and/or to improve the content of our Web pages.
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KEPCO, INC. • 131-38 SANFORD AVENUE • FLUSHING, NY. 11355 U.S.A.
TEL (718) 461-7000 • FAX (718) 767-1102
www.kepcopower.com • email: hq@kepcopower.com