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80 PLUS® Certified Power Supplies and Manufacturers

Application Questionnaire
Company Information
Company Name:
(as it should appear in our listing) 		 
Billing Company Name:  
Contact Name:  
Contact Phone:  
Contact Email:    
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Product Information
Product Output:

power supplies are certified for data center applications.


power supplies are certified for desktop, workstation and server applications

in non-redundant configurations.
Production Status:
End-Use Application:
If "Other," please describe:
Model Information
Model Name * Form Factor ** Wattage Forecast (units/month)
     
     
     
     
     
* Please include OEM model name in parenthesis if model is a reproduction.
  Format: (OEM_Name) Current_Model_Name
** To select multiple Form Factor values, hold down ALT key while clicking desired values in list.
Product Return Information
Please note that product test samples will be recycled upon completion of product testing
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