Company Name:

Address:

City: State:

Country:

Telephone: Contact Name: Fax:

E-mail: U.R.L.

Quantity:

KVA:

Phase: 1 3

Hz: 50 60 Other:

Primary (Volts): Delta Wye

Secundary (Volts): Delta Wye

Type: Distribution Padmount Station Dry Oil; Other:

Fluid: Oil (OA) Silicon; Air (AA); RTM; Other:

Notes: