Integrated Solutions

Request a Quote

*Company Name:
*Contact Name:
Address:
City:
State:
Country:
Postal Code / Zip:
*Phone:
*Email:
Company Website:
A. Product Application Information
Field of Use :
Customer Part Number:
Prototypes needed?
Yes No
Quantity:
Estimated annual usage:
Estimated order quantity:
Target price:
Back-lit graphic?
Yes     No
Back-lit graphic & switch?
Yes     No
Segmented EL panel?
Yes     No
B. Customer Design Documents
In order for MetroMark to produce the most accurate quote possible, please include a part print.
Upload Files (5 max):
 
 
 
 
Quality Control Acceptance Criteria
Environmental Requirements
C. Application Information
Mechanical dimensions:
X     mm:     inches:
How will this switch be utilized?
Back-lit    If this application requires EL lighting please also fill out the EL Lamp Quote Request Form in addition to the Membrane Switch Quote Request Form.
Bezel
W/LCD display
Other:
Tail length:
X     mm:     inches:
Number of Leads:
Termination:
Pin Out Parameters
      Is the pin out requirement already defined? Yes     No
Domes/Interface:
      non-tactile
    tactile, polyester domes
   
diameter:       quantity:
    tactile, metal domes
   
dimensions: X       quantity:
Application force (grams):
Operating life cycles:
LEDS?
      LED quantity:
      LED color:
      LED shape:
Shielding:
Would you like us to supply a metal backer? Yes     No
What substrate will this be bonded to?
D. Graphic Construction
Mechanical dimensions:
X     mm:     inches:
Material:
Embossing:
Texture:
Display window?
Yes     No
Number of colors:
E. EL Panel Specifications
Lamp final dimensions:
size: X     mm:     inches:
Lit area dimensions:
size: X     mm:     inches:
Termination:
Operating voltage:
Vrms
Frequency:
Hz
Brightness
 fL
C.I.E. Color coordinates:
size: [x] X [y]
(C.I.E. Color Chart 1931 Chromaticity Diagram)
Phosphor Color:
Will you require MetroMark to supply an inverter? Yes     No
Lit side adhesive?
Yes     No
Rear side adhesive?
Yes     No
E. Special Instructions:

 
   

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