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  First Name
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* Company Name
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  Company Address 2
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     PRODUCT INFORMATION
* Product Type
  Quantity  
   
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     PHYSICAL DIMENSIONS AND SPECIFICATIONS
 
* Material
*
Diameter
 (Inch)
  Diameter Tolerance  (+0/-X Inch)
  or  
  Rectangular Dimensions
  Length  (Inch)
  Width  (Inch)
  Dimensional Tolerance (+0/-X Inch)
  Thickness (+/- mm)
  Min. Clear Aperture [if other than 90%]  %
Wedge Angle
( Arc Minutes)
     OPTICAL SPECIFICATIONS
 
     PRIMARY SIDE, S1 (HR coated or only coated side)
 
* Surface Quality  (Scratch - Dig)
 
* Surface Figure or Transmitted Wavefront
* Curvature Type
  Radius of Curvature  (Meters)
  Incidence Angle (degrees)
  Polarization
  Reflectance  %
  Reflectivity Tolerance (+/- %)
  Operating Wavelength (nm)
  Operating Wavelength Bandwidth (nm)
     
     PRIMARY SIDE, S2 (HR coated or only coated side)
     
* Curvature Type S2
  Radius of Curvature  (Meters)
  AntiReflection Coating
     OTHER INFORMATION
  Other Information:
     
   
   
 
The Optical Corporation thanks you for your inquiry.
Tel: 805 485-8090
   
 
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