Membrane Switch Checklist & RFQ

* indicates fields are required.
First Name *
Last name *
Company *
Phone Number *
Email *
Part Description *
Part Number *
Quantities to Quote *
Annual Quantity *
Part Length
Part Width
Tail Length
Square Corners	Yes No
Graphic Layer
Material
Material Thickness
Number of Colors
Selective Texture	Yes No
Half Tones	Yes No
Emboss Keys	Yes No
Polydome® (Tactile Dome formed in Polyester)	Yes No
Number of Windows
Number of Thru Holes
Rubber Keypad	Yes No
Circuit Layer
Circuit Length (if different from overall dimension)
Circuit Width (if different from overall dimension)
Circuit Type	Common Bus Matrix
NEMA Seal	Yes No
Tail Cover	Polyester Printed Dielectric
Number of Traces/Pin-Outs
Type of Connector	Female Male Zif
Other Specs
Metal Domes	Type: Force:
Number of LED's (Color & Type)	Qty: Type: Color:
Emboss LED's	Yes No
Space Layers	Yes No
Bottom Adhesive Layer	Yes No
EMI/RFI Shielding	Printed AutoShield
Backlighting	EL Fiber Optic
Backing Plate	Yes No
PCB	Yes No
Other Components (ie. Photo Diodes)
Comments: