MIDWEST Switchgear Group
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CIRCUIT BREAKER QUOTE INFORMATION

Please fill out this form to the best of your knowledge and click "Send Request", or Click here to download a PDF if you prefer to fax us your request.

Your Contact Information

*Company Name:
*Contact Name:
*Phone No.:
*Email:

Circuit Breaker Information

Manufacturer:
Catalog/Style #:
Model:
*Trip Type:
*Trip Functions:
Trip Cat #:
*Rating Plug Amperage (if applicable):
*Mount (select one):
*Operation (select one):
If Electric, What Voltage:
*Remote Close:
Voltage:
*Shunt Trip:
Voltage:
*Undervoltage Release:
Voltage:
*Aux. Switch:
# of N/O: # of N/C:
*Bell Alarm:
Voltage:

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Customer Notes


© 2024 MIDWEST Electrical Testing & Maintenance Co., Inc.
N93 W16170 Megal Drive · Menomonee Falls, WI 53051
Toll-Free: 800.803.9256 · Local: 414.461.8200 · Fax: 414.461.8485
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Available Monday - Friday
7 AM - 4:30 PM Central Time