Request for a Custom Membrane Switch ProposalCustomer Project NameCompany Name *Contact Person *Company Address *Phone *FaxEmail *General InformationCustomer Part #/Project Name *Planned Annual Quantity *Number of Prototypes/SamplesProtection Class IPApplication *Please describe the field of application shortly.Sketch Available? *NoYesSketch of Membrane SwitchOtherMembrane Switch Specification (Only neccessary when no sketch provided.)External Dimensions *lenght x width, in mmFrontfoil CharacteristicsNumber of Printed Colors *Used Key Types *FlatEmbossedDomed (GT)Select all ApplicableDisplay WindowNoYesCircuit CharacteristicsNumber of Keys *Number of integrated LEDs (if any)Connector Type *Standard CrimpflexNone for ZIF ConnectorOther (specify below)Additional InformationAddons Please select all applicable.Base PlateNoYesEnclosureNoYesManufacturerTypePC BoardNoYesSealingNoYesIlluminationNoYesCheckboxesKeysSymbolsAreaTouchscreenNoYesManufacturerTypeDisplayNoYesManufacturerTypeFilter GlassNoYesAdditional InformationEmailSubmit
