Custom Fiber Stretcher/Modulator Request Form

This form will help us evaluate your requirement for a customized phase modulator / fiber stretcher. Complete the information as much as possible and click on "Submit".
*denotes required fields. You may also print this form and fax it to (818) 782-0999.

Please enter your details:

*Name:	*Phone:
*Company:	*E-mail:
Address:
City:
State:		Zip Code:

1. FIBER TYPE/WAVELENGTH OF OPERATION We need to know the exact fiber type that you plan to use, if known.

Type	Manufacturer	Part Number	Wavelength
SMF
PM
Other

2. FREQUENCY RANGE

[a] Review the PZ1 and / or PZ2-HE data sheet graphs showing the Modulator Constant over Frequency and determine which type of response is suitable.
Which type of response is suitable?	PZ1 PZ2
Comment:

[b] Please comment on the Modulator Constant and determine if the value shown is suitable for your application.
Is the value shown for the Modulator constant suitable?	YES NO
Comment:

3. OPERATIONAL VOLTAGE RANGE

Assuming that the PZ1 type design is suitable for your needs, is 2nF acceptable?	YES NO
Comment:

4.CONNECTORS

Optiphase standard connectors are narrow key unless specified otherwise.
Please select the connector type:	FC/APC FC/PC

5. FIBER LENGTH

Please indicate the precise length requirement if known.

LENGTH:

6. QUANTITY

Please indicate the quantity of modulators you will purchase.

QTY:

Questions or comments about this form?

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