Request form for specific control station ø 22 > EQUIPPED CONTROL STATION (fill in one form for each type of product) Mounting: q horizontal q vertical Unit type : q 1 hole q 2 holes q 3 holes q yellow cover (only 1 hole) q 4 holes YOUR DETAILS Company: ............................................................ ................................................................................ q 5 holes Choice of head: (write the corresponding number in the table) 1 1 Spring return flush 8 13 2 Push-push stay-put flush 2 3 Spring return projecting 3 14 9 4 Push-push stay-put 4 projecting 15 5 Mushroom head spring 5 10 return 16 6 Mushroom head push6 pull stay-put 11 7 Mushroom head Ø 54 push- pull with flag 12 7 indicator ................................................................................ 8 Mushroom head pushturn stay-put 9 Mushroom head with key 10 Selector switch with handle 11 Selector switch with long handle 12 Knob selector switch 13 Key selector switch 14 Double touch 15 Triple touch 16 Pilot light Name and surname:......................................... ................................................................................ Address: ............................................................... ................................................................................ ................................................................................ E-mail : ................................................................. Tel.:............................................. ........................... Fax: ....................................................................... Please fill in the table below Heads 230 V 130 V LED Voltage 24 V illuminated with LED NC NO ISO 13850 Ø 32 Ø 40 Ø 54 IP 67 shroud Extended Matt chromed Yellow Blue White Red Black Green Illuminated Head no. q Earth terminal Black plastic bezel Colour COMMENTS Blocks q Contact fixed behind the cover Marking: q Function Max. 14 characters on 1 line q On control station(1) q On legend plate(2) q On head black Red Alu white Colour (1) 3 characters on 3 lines for vertical marking and max. 13 characters on 2 lines for horizontal marking (2) max. 2 lines of 6 characters > SELECTOR SWITCHES' SWITCHING ANGLE 0 1 0 1 0 1 0 1 0 1 0 1 0 2 0 0 1 2 1 q q q Key free in position : q q q q q q 0 q 1 q 2 q other (attach diagram) 0 0 2 q 2 1 2 1 1 q q Specify the concerned buttons: ........................................................................................................................ 94