Contact Information:                                                                                        Download this form (word doc)

Company Name: ______________________________  Contact Name: ________________________________

Tel: _________________________  Fax: ________________________  Email: ___________________________

Address: ____________________________________________________________________________________

Materials                                                                                                   

Top Surface Treatment:

______Clear Hard Coat: For maximum display clarity and glare is not the main concern.
______Anti-Glare Hard Coat: For glare reduction when the display may be facing bright light source.

Top Layer:

ITO coated 0.18mm (0.007" or 7 mil) thick polyester.

Bottom Layer:

______0.18mm (0.007") ITO coated polyester: a rigid backing material will be required.
______ 1.1 mm (0.043") ITO coated glass. ______2mm (0.079") ITO coated glass.
______3mm (0.118") ITO coated glass. ______ Other material, please specify:

Additional Backing Layer:

______2.38mm (0.094") Glass
______2.38mm (0.094") Acrylic, ______ 6.35mm (0.25") Acrylic.
______0.79mm (0.031") Polycarbonate
______Other, please specify:

Quantity of samples needed for approval: ______

Quantity of production units: _____________ per _________ (month or quarter or year)

Time frame to purchase: ___ immediate, ___ within one month, ___ within 3 months, ___ future.

Dimension

Analog Type:  The location of the tail may be changed, please mark. Measurements: ______mm ______in A______ B______ C ______ D______ E______ F______ G______ H______ I_______ J_______ K______ L______ Pin1____ Pin2____ Pin3____ Pin4____ (indicate up or down or left or right)

All traces on the tail are 0.075" wide with 0.025" space unless otherwise specified.