Return to RFQ Options
Graphic Overlay, Membrane Switch and Polyester Flex Circuit Quotation Form
Company Information
Company Name
Address
City
State/Province
Please Select
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Idaho
Illinois
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
Ontario
Quebec
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
Send File
Comments