Decal & Membrane Quote Form

    Name:
    Email :
    Phone: :
    Fax :
    Company:
    Part Number:
    Drawing Number:
    Revision:
    Expected Annual Requirements
    Temperature Range part will be used in:
    Job Description:
    Batch Size(s) to Quote:
    Material:
    Thickness:
    Size:
    X (Width x Height)
    Corners:
    Adhesive Wanted:
    Clear Window Required:
    Window Size:
    Detail Colours:
    Background Colours:
    Holes Required:
    Hole Sizes:
    Extra Requirements:
    Size:
    Required if different from graphic layer
    x (Width x Height)
    Tail Length:
    No of Tracks:
    Connector Required:
    Type:
    Number of Keys:
    Tactile Feel Required:
    LEDs Required:
    No of LEDs
    Type of LEDs
    Extra Requirements:
    Data Available: