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Graphic Overlay, Membrane Switch and Polyester Flex Circuit Quotation Form

Company Information

Company Name
Address
City State/Province Zip

Contact Information

Purchasing Contact
Phone Fax
Email
Engineering Contact
Phone Fax
Email

Part Information

 
Customer P/N Rev
Part Name
Product Used On
Date Sent to Douglas Quote Due Date
EAU Quantities to Quote

Overlay

Material Type Polyester   Polycarbonate   Other
Part Size
Material Finish Velvet   Glossy   Selective   Other
Window Finish Clear   Textured
Adhesive Type
Printed Colors
(include background, tinted windows and LED windows)
Embossed Keys Rim (Rail)    Full Key (Pillow)    None

Circuit

Tail Termination Connector    Solder Pins    Ziff    None
Tail Length Tail Location
# of Embedded LEDs
Tactile Feel Key SS Dome    PolyDome    None
EMI/RFI Sheild Req Yes    No
Back Panel Required Yes    No Material Type
Application Interior    Exterior
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