Eval Board Request

The asterisk symbol "*" denotes a required field.

Part Information

* Semtech Part Number:
* Request Type (Select all that apply)
             
* Program EAU:
* Quote Quantity:
* Sample Quantity:
* Date Sample Needed:
* Quantity of EVB:
* Date Eval Board Needed:
Anticipated Prototype Date:
* Anticipated Production Date:
* Program Name:
Eval Board Specifications

Input Voltage (Nominal):
Output Current (Nominal):
Input Voltage (Min):
Output Current (Max):
Input Voltage (Max):
Operating Frequency:
Output Voltage:
Isolation:
Tolerance:
Efficiency Target %:
Output Voltage Ripple:
Application Information

* Market Sector:
Solution/Application:
* End Product:
Contact Information

* First Name:
* Last Name:
* Company:
Job Title:
* Address:
* City:
State/Province:
(For USA & Canadian Customers)
* Country:
Zip/Postal Code:
* E-mail:
* Phone:
Mobile Phone:
FAX:
Shipping Information


 
* Address:
* City:
State/Province:

(For USA & Canadian Customers)
* Country:
Zip/Postal Code:
Comments (255 character limit)


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