Date of request	YY/MM/DD
Due date	YY/MM/DD
Header data of Customer
Company Name *
Country
City
Street
Post Code
Contact person *
E-mail *
Phone *
FAX
Website
Mode of dispatch/Courier account-no
General Information
Application *
Quantity/year *
T/price
Start of production *
Isabellenhuette part number
Technical Requirements
Size (Chip)
SMD (yes/no)
Resistance value (mΩ)
Tolerance (%)
Current (I) in Ampere (A)
Measurement signal (V)
Power load (W)
Isabellenhuette ordering code
Comment / further requested parts