Please fill out the form below and provide as much detail as possible. This will enable us to provide you with an accurate quote and allow you to ask any general questions you may have.

We usually respond to price quote requests within 2 business days. If you need a faster response please call us during normal business hours at 408-544-1890.

A Sample Budget -- More Info on Costs

Quick Quote Request
*Required Information
Company Name:
Company Address:
Main Phone #:
*First Name:
*Last Name:
Direct Phone #:   Ext.:
Fax #:
*Email:

Model Number(s):
Industry:
Product Description
(Please provide as much detail as possible regarding product type, size, weight, power requirements, etc.)
Desired Date of Completion:

Importance of:
Timing Cost Training
(10 = VERY important!, 1 = Not Very Important)
What type of testing and/or consulting
services do you need?
Product Safety EMC
Telecom Medical
NEBS Consulting Services
Other Services
Where do you intend to market this product?
North America South America
European Union Eastern Europe
Africa Australia
Middle East Japan
Korea Taiwan
China Other Markets
Which Product Safety agencies would you like to use? (Check all that apply)
UL TUV Rheinland
CSA CE Mark
CB Report/Certificate Not Sure
To which Standard does the equipment need to be tested? (Check all that apply)
UL60950-1/EN60950-1/IEC60950-1 UL61010-1/IEC61010-1
UL60601/EN60601/IEC60601 SEMI
Other:  Not Sure
Did you attempt to purchase pre-approved components? Yes No
Is there a direct off-premises telecommunication connection? Yes No
Is the unit provided with a thermoplastic enclosure? Yes No
Is there any previous experience with the regulatory agencies? Yes No
Where would you like to test?
Would you like to be contacted by SEL? Yes No 
(if you're this far down in our form and don't want us to respond,
we're concerned for you)
Enter your questions or additional comments below:

Safety Engineering Laboratory: 2370-D Qume Drive, San Jose, CA 95131
Phone: (408) 544-1890
 Fax: (408) 544-1899 Web: www.SELdirect.com Email: info@seldirect.com