Custom Cable Assemblies provide an extensive range of cable assemblies

Order Form

1. Place your order with us below.

2. We will phone to confirm your order

3. On invoice you can settle by clicking pay your bill above

We can now accept credit card payments via



Contact Name:
Company Name:
Customer Address:
Contact Number:
Email Address:
Order Reference No:

Item 1
Cable Type:
Connector Types:
Assembly Length:
Quantity:
Colour of Cable:
Booted
Special Pin Out:
	Please state the Pin Out required for End 1 & End 2 below:

Item 2
Cable Type:
Connector Types:
Assembly Length:
Quantity:
Colour of Cable:
Booted
Special Pin Out:
	Please state the Pin Out required for End 1 & End 2 below:

Item 3
Cable Type:
Connector Types:
Assembly Length:
Quantity:
Colour of Cable:
Booted
Special Pin Out:
	Please state the Pin Out required for End 1 & End 2 below:

Item 4
Cable Type:
Connector Types:
Assembly Length:
Quantity:
Colour of Cable:
Booted
Special Pin Out:
	Please state the Pin Out required for End 1 & End 2 below:

Item 5
Cable Type:
Connector Types:
Assembly Length:
Quantity:
Colour of Cable:
Booted
Special Pin Out:
	Please state the Pin Out required for End 1 & End 2 below:

Date required
Delivered for the Attention of:
Delivery Address, if different from above:	Same as above

Please review your order and the points below before submitting

Credit is available subject to status and may be withdrawn at any point.
Due to the nature of specialty custom cable assemblies we cannot accept returns or cancellations unless there has been an error on our part.
Custom Cable assemblies cannot be held responsible for any error on the part of our customers, all ordered goods must be paid for.
All goods remain the property of Custom Cable Assemblies until paid for in full.