Switch Sample Request Form

Please take a moment to complete the following questionnaire.   These questions are all necessary to provide the best switch for your requirement.

Your Name/Title:

Company Name:

What does your company make:

Phone (w/extension):      Fax: 

Street  Address (with State and Zip Code):

E-Mail Address: 

How did you hear about us?: Searching on the Web Thomas Register Distributor Phone Book Found a switch Referred by a Judco customer

Type of Switch: Push-Button Switch Rocker Switch Toggle Switch Custom Switch Requirement Slide Switch

Switch Function: On-Off On-On On-Off-On Momentary On (NOMC) Momentary Off (NCMO) Other

Annual usage:    (Judco's minimum order is $250.00 per part number.)

What is your application (please be specific):

Is this an OEM Automotive application?:  Yes No

What are the Volt  and Amp Requirements?

Do you require wires or terminals: Wires Terminals

Do you require UL approval?:  Yes No

Do you have space limitations?:  Yes No

What is the cycle life requirement?: 

Will the switch be exposed to the outside elements (i.e., water, dust, sun, etc.)?:  Yes No

Do you require a protective boot?:  Yes No

Spike Concern?:  Yes No Unsure     Millivolt concern?:  Yes No Unsure

Do you use heat shrink tubing?: Yes No Unsure   

If yes, would you like to save 80% on your labor cost and reduce your shrink time to just 2.2 seconds?  Please click here to view our newest product, the Focus-Lite Heat Shrink Processing Machine.

How would you like to be contacted:  E-mail Phone US Mail Fax

Additional Comments?

Thank you for taking the time to complete this request form.  Please print this form for reference, then hit the submit button to send your request.  We will contact you with the switch or component that best fits your requirements.  If you have any questions, please contact our friendly sales staff.