Company:

Address:

City:  Prov/State:  ZipCode:

Company Contact:

ELECTRICAL SPECIFICATIONS

Voltage (operating):  Current (operating):

Switch Circuitry: X-Y matrix  SPST  SPST/Common Bus

Other:

MECHANICAL SPECIFICATIONS

Keypad Type: P.C.B. Based  Flexible Type

Switch Panel: Size  X  Thickness

Type of Termination:

Method of Mounting:

Special Operating Force:

ENVIRONMENTAL SPECIFICATIONS

Operating Temperature:  Storage Temperature:

Humidity:  Altitude:

Other Environmental Conditions:

GRAPHIC SHEET SPECIFICATIONS

Custom Graphic: Yes  No  Existing Artwork: Yes  No

Number of Colours:  Material:

Texture:  Backlighting:

Graphic Modification Required In Future:

QUANTITIES REQUIRED

Estimate Annual Usage:

Prototype Quantity:  Date Required:

Production Release Quantity:  Date Required:

Please supply a drawing or sketch of switch/panel (showing overall dimensions, centre spacing of switches, active touch area of switches, location and length tail and schematic or truth table of circuitry).

For further contact e-mail TOUCHTeK membrane keypads for prompt assistance.

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