Name (required)
Position (required)
Company (required)
Street address (required)
Address (cont.)
City (required)
State (required)
Zip/Postal code (required)
Telephone Number (required)	Extension
Fax
E-mail (required)

SIZE:  Specify available space for the heat sink.
Length (in/cm):		Width (in/cm):		Height (in/cm):

HEAT LOAD:
Total Power Dissipation (Watts):			Fin Orientation:

DEVICE DATA: List each Power Dissipation Device

HEAT SINK DESIGN PERFORMANCE REQUIREMENTS

FORM SUBMISSION

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