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Custom Cable Request Form Copy And Fax This Form To 800

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Custom Cable Request Form (Page 1 of 2) Create your own custom cable with this form by indicating cable type, length, and jacket type as well as connector gender, connector type, and special instructions. If you select foil shielded as the cable type, remember to circle your drain-wire option. Lastly, indicate your pinning requirements. You can also configure Custom Cables with our Cable & Adapter Configurator at blackbox.com/Resources. After you’ve submitted the form, you’ll receive a confirmation e-mail, and your quote will be completed within 24 hours. Need help? Call our FREE Tech Support at 724-746-5500! Step 1 Cable Type: (Check as many as apply) ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ CAT5e CAT6 CAT6a Unshielded Foil Shielded Foil and Copper-Braid Shielded Solid Stranded Jacket Type: ■ PVC ■ Plenum 62.5/125-µm Multimode Fiber 50/125-µm Multimode Fiber 50/125-µm (OM3) Multimode Fiber 8.5/125-µm Single-Mode Fiber Simplex Fiber Duplex Fiber Other:  tandard- and Custom-Cable Length S Tolerances 0–9.9 ft. . . . . . . . . . . . . . . . . . . . +3"/-0" 10–99.9 ft. . . . . . . . . . . . . . . . . . . +6"/-0" 100 ft.+ . . . . . . . . . . . . . . . . . . . +1 ft./-0" Length: _______________________ (from screwlock to screwlock) Connector A Step 2 connectors: Copper cables are guaranteed for life! Connector B NOTE: Many fiber optic cables are also guaranteed for life. Gender: M ■ Gender: F ■ Connector Type: (Circle one) 1. DB9 2. DB15 3. DB25 4. DB37 5. DB50 6. 15-pin high-density 7. 36-pin Centronics® 8. 50-pin telco 9. RJ-11 4-wire 10. RJ-11 6-wire 11. RJ-22 4-wire 12. RJ-45 8-wire 13. DEC™ MMJ 14. RJ-45 10-wire 15. RJ-45 8-wire, shielded 16. M/50 17. Fiber ST® 18. Fiber SC 19. Fiber LC 20. Fiber MT-RJ 21. Fiber MU 22. Fiber FDDI 23. M/34 (V.35) 4. 50-pin Berg: 2 RS-232 or SCSI 25. 4-pin mini DIN 26. 5-pin DIN 27. 6-pin mini DIN 28. 8-pin mini DIN 29. Spade lugs, length:____________ 30. Other:____________ M ■ F ■ Connector Type: (Circle one) 1. DB9 13. DEC MMJ 2. DB15 14. RJ-45 10-wire 3. DB25 15. RJ-45 8-wire, 4. DB37 shielded 5. DB50 16. M/50 6. 15-pin high-density 17. Fiber ST 7. 36-pin Centronics 18. Fiber SC 8. 50-pin telco 19. Fiber LC 9. RJ-11 4-wire 20. Fiber MT-RJ 10. RJ-11 6-wire 21. Fiber MU 11. RJ-22 4-wire 22. Fiber FDDI 12. RJ-45 8-wire 23. M/34 (V.35) 24. 50-pin Berg: RS-232 or SCSI 25. 4-pin mini DIN 26. 5-pin DIN 27. 6-pin mini DIN 28. 8-pin mini DIN 29. Spade lugs, length:___________ 30. Other:___________ Special Instructions: (Circle options) Special Instructions: (Circle options) 1. One end cut 2. Pins only 3. Hood type (Plastic if not specified): • Metal hood • 45º hood • Removable hood • Plastic hood • Molded hood 4. Thumbscrews 5. Screw locks: M or F (Male if not specified) metric/English 6. 90º hood —specify cable exit, Pin #____________ Note: Default is Male=Pin 1, Female=Opposite 7. Pairing 8. Flying leads, length: _______________________________________________ 9. Label:____________________________________________________________ 10. 50-pin telco: ears or bail latches 11. 36-pin Centronics: ears or bail latches 12. Packaging—please attach specs 13. Other—please attach specs 1. One end cut 2. Pins only 3. Hood type (Plastic if not specified): • Metal hood • 45º hood • Removable hood • Plastic hood • Molded hood 4. Thumbscrews 5. Screw locks: M or F (Male if not specified) metric/English 6. 90º hood —specify cable exit, Pin #____________ Note: Default is Male=Pin 1, Female=Opposite 7. Pairing 8. Flying leads, length: _______________________________________________ 9. Label:____________________________________________________________ 10. 50-pin telco: ears or bail latches 11. 36-pin Centronics: ears or bail latches 12. Packaging—please attach specs 13. Other—please attach specs Drain Wire: (Circle one) Drain Wire: (Circle one) (Applies only to foil-shielded cables) 1. Cut drain wire 2. Pin drain by itself 3. Wrap drain with conductor If 1–3 are not chosen, 4. Attach drain to shell (Applies only to foil-shielded cables) 1. Cut drain wire 2. Pin drain by itself 3. Wrap drain with conductor If 1–3 are not chosen, 4. Attach drain to shell Pin #_____________________________ Pin #_____________________________ Pin #______________________________ Pin #______________________________ Copy and FAX THIS FORM to 800-321-0746 — 24 hours a day, 7 days a week! Custom Cable Request Form (Page 2 of 2) Step 3 Pinning Chart Example Pinning (See example at right) Connector B Connector A Pin # Connector A Pin # Connector B Pinning Chart Legend Pin to pin Pin # Example Pin # 2 wires, same hole Shielded pair Twisted pair Pin 12–12 Pin 13–13 Jumper pin 16 18 Coax Center Shield Comments: Step 4 To Order: FAX to: 800-321-0746 (24 hours a day, 7 days a week!) or MAIL to: 1000 Park Drive Lawrence, PA 15055-1018 24-Hour Response! Quantity: __________ Part number: Name:_ ________________________________________ Contact number: title:___________________________________________ Quote number: Order number: Comments: Company:______________________________________ Address or P.O. Box:_____________________________________ Mail stop/ Suite/Building:_________________________________ City:___________________________________________ State: Zip: Telephone: ( )____________________________ Fax: ( )__________________________________ BB10 E-mail:_________________________________________ When ordering…please include a copy of this form with our Order Form. Thank you! Copy and FAX THIS FORM to 800-321-0746 — 24 hours a day, 7 days a week!