Home About For End Users - Submit Your Connect to Confidence Request

FOR END USERS:
SUBMIT YOUR CONNECT TO CONFIDENCE REQUEST

Please review program information and participation guidelines prior to completing the form.

Connect to Confidence Program - End User Submission

Please provide as much detail as possible. All fields are required.

Please list the competitor's complete part number for each product in the cordset, along with a description of the part.

Please list the competitor's complete part number for each product in the cordset, along with an explanation of the issue(s).

Please list the competitor's complete part number for each product in the cordset, along with the price and date of purchase.

Please list the desired replacement CTC part number for each item in your cordset. If not known/no preference, please put N/A

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