Firma*	SC*
Projektname*	AD*
Applikationsbeschreibung*
Menge/Jahr *
Zeitliche Planung *
Projektwert

Project quantity	Complete project: 2019: 2020: 2021: 2022:
Project production schedule	Sample schedule: Pilot Run schedule: Mass Production schedule:
Application*	☐ WiFi ☐ Bluetooth ☐ 2G/3G/4G ☐ ISM ☐ TETRA ☐ GNSS (GPS, etc.) ☐ Other:
Frequency Range*	☐ 437 MHz ☐ 868 MHz ☐ 920 MHz ☐ 2,4 GHz ☐ 5 GHz ☐ Other:
Mounting*	☐ SMT ☐ Adhesive ☐ Connector ☐ Roof mount ☐ Wall mount ☐ Other:
Connector type (if applicable)	☐ MHF4 ☐ U.FL ☐ MMCX ☐ SMA ☐ RP-SMA ☐ Other ☐ male ☐ female
Antenna Cable (if applicable)	☐ fixed to antenna ☐ separate Pigtail
Pigtail cable length [mm]
Pigtail connectors	Side A: Side B:
Temperature range
Max. mechanical dimensions:
Current supplier of antenna	Partnumber: Target Price:

Comments/Notes