MEMBRANE SWITCH REQUEST FOR QUOTATION INFORMATION
          Date Submitted:  
CUSTOMER INFO:         Date Required:  
COMPANY NAME:       RFQ NO:  
APPLICATION:  
ENVIRONMENT: (CHECK AS MANY AS APPLICABLE)
INDOOR LOW LIGHT ELEVATION CHANGES HEAVY USAGE
CHEMICAL HUMID/WET TEMPERATURE RANGE OUTDOOR
PART NUMBER:    
REV:
QUANTITY:    
PROTOTYPE- SOFT TOOLING REQUIRED
PART SIZE:    
        QUANTITY: 

GRAPHIC (OVERLAY) INFO:
MATERIAL: POLYESTER POLYCARBONATE PVC THICKNESS: in/mm
FINISH: TEXTURE GLOSS SATIN/VELVET OTHER:

NUMBER OF COLORS: (INCLUDING BACKGROUND)

BACKGROUND: LIGHT DARK

ENHANCEMENT OPTIONS:
EMBOSSING: FULL KEY PERIMETER DOME LED/WINDOW
  LEGEND NONE    
HARDCOATING: SELECTIVE TEXTURE GLOSS ANTIGLARE OTHER
WINDOW COLOR: CLEAR RED GREEN OTHER
BACKLIGHTING: LED EL FIBER OPTICS
OTHER OPTIONS: PU CAPPING SELECTIVE PU CAPPING DEADFRONT

SWITCH INFO:
NUMBER OF KEYS: LENGTH OF TAIL:  
TACTILE: METAL DOME SIZE: POLYDOME SPECIAL INSTRUCTIONS:
FORCE: LT ( 8 ~ 10 oz) MED ( 12 ~ 14 oz) HVY ( 16+ oz )
LEDS: RESISTORS: TYPE: STANDARD OTHERS:
CONNECTOR: FEMALE MALE SOLDER TAB TRACES: NONE
SHIELDING REQUIREMENT: NONE ESD / RFI / EMI
MATERIAL: SILVER GRID SILVER SOLID ALUMINUM FOIL COPPER FOIL CARBON

ADHESIVE INFO:
ADHESIVE TYPE: SUBSTRATE:  
                     (MATERIAL THE SWITCH IS BEING APPLIED TO)
SUPPORT PLATE INFO:
MATERIAL: FINISH:  
MOUNTING HARDWARE:

ARTWORK INFO:
GRAPHIC(OVERLAY) ARTWORK PRODUCED BY: CUSTOMER PRINTEC
CIRCUIT ARTWORK PRODUCED BY: CUSTOMER PRINTEC

SPECIAL ASSEMBLIES OR REQUIREMENTS:
SIGNATURE:

       
PRINTEC Electronics is a global leader in membrane switch manufacturing and technology. Using cutting edge manufacturing technology to meet our customer's requirements for quality and engineering.