This form can be used with ANY PART(S) on our website, Power Supplies or Audio Devices.

This form can ALSO be used to request our catalog.

When using this form, please reference the Golden Pacific Electronics P/N#'s that are on our website. 

Please include the OUTPUT CONNECTOR OPTIONS after the P/N (Example: PS-1212APL05) (if part is a power supply)

                   Part #: 

                   Part #: 

                   Part #: 

                   Part #: 

 Company Name

                    Name

                       Title

Address

City

               State/Zip

                    E-mail

                   Phone

                       FAX

catalogs are sent out via bulk mail. Allow 6 - 8 weeks for delivery.