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Custom Battery Pack Request

We at Battery Giant will construct custom battery packs for customers with special battery needs. Please complete the form below and one of our technicians will respond to you in a timely fashion with any questions as well as pricing and purchasing information. If you are unsure as to any specifications of your battery pack please fill out the customer information section and any other known information and leave any unknown information blank or enter "Not Sure" in the provided space. A Technician will contact you to determine any missing information. * Indicates a required field.
Customer Information
Title:	Contact Name: *
Address: *	City: *
Country: *	State: *
ZIP: *
Telephone #: *	Email Address: *
Please indicate desired method for us to contact You:

Battery Pack Electrical Information
Application:	Battery Chemistry:
Type of Cells: Click Here to View Cell Types	# of Cells:
Cutoff Voltage: Volts	Battery Voltage: Volts
Discharge Current: Amps	Desired Runtime: Hour(s)
Operating Temperature: °F	Storage Temperature: °F
Any Other Misc. Electrical Information:

Battery Pack Mechanical Information
Battery Pack Configuration:	Click Here to View Example Configurations and Pack Names
Desired Dimensions: L W H (Inches)	Connection Option:
Connector Type (Available with Wires or Separate):	Optional Secondary Connector Type:
Any Other Misc. Mechanical Information:

Additional Information
Quantity Needed:
Charger Desired with Purchase :	Technician will provide information on the recommended charger for your packs upon purchase.
Comments: