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Over-Mold Project Sheet Form

"*" indicates required fields

Step 1 of 22

Are we over-molding to a harness or cable assembly?*

YES

Please proceed to the following link instead. Thank you!

Please click here: Custom Assembly

OM Log Number

Originator Name*

Originator Email*

Customer Company Name*

Customer Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Customer Contact Name*

Customer Contact Phone Number*

Customer Contact Email*

Is this to be quoted through an authorized JST Distributor?*

YES

JST Authorized Distributor*

Distributor Contact Name*

Please describe the product to be over-molded*

Application*

Application Program Life (years)*

Prototype / FAI Quantity*

Prototypes Due By*

MM slash DD slash YYYY

Estimated Annual Usage*

Production Start Date*

MM slash DD slash YYYY

Target Price (each)*

Estimated Annual Sales*

Are drawings or CAD available for part to be encapsulated?*

YES

The quotation will be more accurate with CAD Data. 3D STEP or ProE/Creo files for PCB's are preferred

Upload your drawing or CAD data here

Drop files here or

Max. file size: 512 MB.

Product Size? Rough estimates are fine for quoting if CAD is not available.*

Height (mm)

Width (mm)

Length (mm)

Strain relief features or requirements?*

YES

Molded logo required?*

YES

Upload your logo*

Drop files here or

Max. file size: 512 MB.

Molded part number required?*

YES

Enter molded part number*

End Environment*

Appliance

Automotive

Indoor

Marine

Medical

Outdoor

Other

If other, please enter the End Environment*

Adhesion to PCB?*

YES

Adhesion to wire?*

YES

Adhesion to other materials?*

YES

Please enter the material information*

Operating temperature range (min / max)*

Temperature cycle / shock requirements?*

YES

Please enter cycle / shock specifics*

Exposure to moisture?*

YES

Please enter specific IP rating*

Any solvents that the materials need to withstand?*

YES

Please enter solvent specifics*

(i.e., what fluids? Alcohol? Splashing? Immersion?)

UV exposure applicable?*

YES

Please explain*

UL certification required?*

YES

Please enter specific UL requirement(s)*

Vibration test requirements?*

YES

Please enter vibration specifics*

Color requirements?*

YES

Please enter color specifics*

(FYI - black & translucent amber are common. Other colors including optically clear are available.)

Upload any additional files (if any)

Drop files here or

Max. file size: 512 MB.

Additional Comments (if any)

Assigned Engineering Center

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JST Corporation
5102 Porter Harvey Drive
Guntersville, AL 35976

For Sales Support
(256) 960-8656

For Technical Support
(256) 960-8668

Main: (256) 571-9117

Email: gam@jstus.com

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