Custom Transformer Quotation Form

To request a quotation for a custom transformer, please fill out this form completely and click the submit key at the bottom of the page. An EMCOD representative will contact you with your custom quotation.

If you prefer, you can use your own quotation form and email it to

1. Contact Information

* Full Name


* Company Name


* E-mail


2. Product Description

Transformer Type Insulation   Auto    Other  
Primary 1   Volts     Taps  Volts
Primary 2   Volts     Taps  Volts
Frequency 50/60 Hz     60 Hz     400 Hz     Other Hz
The form of the input voltage Sin    Rectangular    Other
Sec. num Voltage at
Full load

(Volts AC)
Full load

(Amps AC)
Secondary 1
Secondary 2
Secondary 3
Secondary 4
Secondary 5
Regulation     Line %     Load %       Max. temp. rise °C
Terminations Print Circuits Pins     Wire Leads     Solder terminals     Terminal Blocks   

Magnet Wire leads    Other
Wire Length inch
Mounting Style Channel Frame    Bracket    PCB    Open Mount    Other
Mounting Orientation Vertical     Horizontal     Other
Bobbin Style Flat     VDE     One Section    Two Sections    Other
Quantity for Quotation

3. Additional Information

Additional specific requirements: