Order Form

Due to volume orders you may not recieve a quote untill the next business morning
All orders are processed within the order in which they were recieved.
Thank you.


Please choose only 1 form per 1 panel needed

Installation or Job reference name

Panel reference name


Style Series - Plastic Only
Please make choice of color, connectors, etc.
Design Series - Plastic Plate
enclosed with a Metal Frame, ie. Bezel
Please make choice of color of plate,
color of bezel, connectors, etc.
Style Series Color:
Please choose one color
Design Series Color of Plate:
Please choose one color
Color of Bezel:
Please choose one color


Tech Series
Please make choice of material, color,
connectors, etc.
Ultimate Series
Please make choice of gang size, material,
color, connectors, etc.
Tech Series Material:
Please choose one
Ultimate Series Material:
Please choose one
Ultimate Gang Size:
Please choose one
Tech Series Color:
Please choose one
Ultimate Series Color:
Please choose one
of these if you marked
aluminum or stainless
Ultimate Series Plastic Colors:
Please choose one
of these if you marked
plastic


Connectors
Please choose the type of connectors needed.
F Type Feedthru Number
Needed
Phone Jacks Number
Needed
9 Pin D Female Connector-Solder 3.5mm TRS Isolated
9 Pin D Female Connector-Crimp Switchcraft 3.5mm TS
9 Pin D Female Connector-Feedthrough Bitronics 3.5 mm Feedthrough Mini-M
9 Pin D Male Connector-Solder 1/4" TRS Isolated
9 Pin D Male Connector-Crimp 1/4" 2 Cond. Isolated
9 Pin D Male Connector-Feedthrough Neutrik 1/4" TRS Locking
Leviton 4/6 Conductor RJ-11
Telephone Jack
Leviton 8 Conductor RJ45 CAT5
Telephone Jack

 


DB-Feedthru 15 and 25 Neutrik Connectors
15 Pin High Density Female-Solder 3 Pin XLR Male-Black
15 Pin High Density Female-Crimp 4 Pin XLR Female-Black
15 Pin High Density Female-Feedthrough 3 Pin XLR Female-Black
15 Pin High Density Male-Solder 4 Pin XLR Male-Black
15 Pin High Density Male-Crimp 5 Pin XLR Female-Black
15 Pin High Density Male-Feedthrough 5 Pin XLR Male-Black
15 Pin Female Connector-Solder 6 Pin XLR Female-Black
15 Pin Female Connector-Crimp 6 Pin XLR Male-Black
15 Pin Female Connector-Feedthrough Speakon 8 Conductor
15 Pin Male Connector-Solder Speakon 4 Conductor
15 Pin Male Connector-Crimp
15 Pin Male Connector-Feedthrough
25 Pin Female Connector-Solder
25 Pin Female Connector-Crimp
25 Pin Female Connector-Feedthrough
25 Pin Male Connector-Solder
25 Pin Male Connector-Crimp

 

25 Pin Male Connector-Feedthrough

 


Other Connectors
Switchcraft 3 Pin XLR Male-Silver 4 Pin SVHS Female Connector Feedthru
Canare Recessed BNC Feedthru Canare BNC Feedthru Isolated Jack
Switchcraft 3 Pin XLR Female-Silver Switchcraft RCA Type Isolated Phono
5 Pin Din Type Connector (MIDI) Dual Binding Post
5 Pin Female Connector (Kodak)
Canare Recessed RCA Type-Solder
Bitronics RCA Feedthrough


Engraving Logo
Yes Yes
No No

Type of Plate
Please choose the types of plates
and panels needed.
Number
needed
Wall Plate
Rack Plate
NEMA Cover
Floor Box Cover
Panel
Insert
Custom Cover
Rear Light Panel


Please fill in the following so that we may contact you if there is questions.
If you wish to send CAD Drawings for Plates or Panels please fax them or email them to panels@ult.com.
Company Name:
Contact Person's Name:
Address:
City:
State:
Zip:
Phone Number:
Ext.
Fax Number:
E-mail Address:


Type of Business:


Comments or Questions
©Ultimate Designs 2004