ODM Custom Description Form

Please email this form to: (EXCELLENT CABLE & WIRE CO., LTD)

Company name: / Tel:
Country: / Fax:
Attention: / PO NO.: / Quantity: M
PostalAddress:
Delivery Address:□same as above, or
Please provide following information
Conductor:Please check the material you need. If it is a composite conductor, please check one material in one section, and check by
number.
1. 20 AWG two number of cores
□Solid■Stranded / 3. AWG , number of cores
□Solid □Stranded
■Bare copper □Gold-plated copper wires
□Tinned copper wires □Silver-plated copper wires
□Copper foil wires □other / □Bare copper □Gold-plated copper wires
□Tinned copper wires □Silver-plated copper wires
□Copper foil wires □other
2. AWG , number of cores
□Solid □Stranded / 4. AWG , number of cores
□Solid □Stranded
□Bare copper □Gold-plated copper wires
□Tinned copper wires □Silver-plated copper wires
□Copper foil wires □other / □Bare copper □Gold-plated copper wires
□Tinned copper wires □Silver-plated copper wires
□Copper foil wires □other
Conductor other request :
Insulation:Please fill in the following section by number, referring to the order you check the material on the above.
1.■PP □PTFE
□SR-PVC □TPE
□PE □other
color:
□color matching(based on )
□do not need matching
thickness: mm / 3.□PP □PTFE
□SR-PVC □TPE
□PE □other
color:
□color matching(based on )
□do not need matching
thickness: mm
2.□PP □PTFE
□SR-PVC □TPE
□PE □other
color:
□color matching(based on )
□do not need matching
thickness: mm / 4.□PP □PTFE
□SR-PVC □TPE
□PE □other
color:
□color matching(based on )
□do not need matching
thickness: mm
Insulation other request :
Shield
□aluminium foil □paper □thermoplastic-tape □other
□braid:□bare copper □tinned copper wires □steel copper alloy □copper foil wires other
□spiral:□bare copper □tinned copper wires □copper foil wires □silver-plated copper wires other
If chooses the braid or spiral,provides the coverage %
Other request :
Filler
□Yes □No
Other request :
Jacket
□PVC □TPU □TPV □TPE □XLPE □NBR other
color:
□color matching (based on )
□do not need matching
Outward appearance based on
thickness: mm
Other request:
Please elaborate on the productapplication or other test requests if needed:

*We will respond to your inquiry and confirm the specifications when we review the information provided. Approval sheet will be completed

when all the information and specifications are confirmed

*If you are unaware the production process, please inform us the application of your product in the last section in details. We will contact you

as soon as possible.

Signature: Date: