Request a quote

Use this form to send us a quote request

Subject: (Required)  
Your Name: (Required)  
Your Email Address: (Required)  
Your Telephone number: (Required)  
Your Fax number:  
Company name: (Required)  
Company address:  
PO Box:  
Company Telephone:  
Company Fax:  
How did you hear about Membrane Switch Tech:  
If other please specify:  

Construction code selected: - - - - (see Construction page)
Options selected: (see options page)
Specifications: ( see specs. page)
Quantities to quote using Soft Tooling (prototype)
Quantities to quote using Hard Tooling (production)
Number of switches
Number of actuations
Actuation force (if known)
Tactile Ratio (if known : non-tactile = 0%)
Key Travel (if known)

Graphic Overlay:
Size: x
# of Opaque colors:
# of Transparent colors:
Texture: if other specify:
Embossing: Specify:

Length of Tail
Length of Tail (if applicable) : inches
Connector: yes, no, if yes type:
Location of Tail: describe: (i.e. left hand side center)

Mounting Surface Texture:

Printed Circuit Board (if applicable):
Number of pins on header:
Type of header: straight, 90 degree, single row, double row
Include a flex tail? yes no If so enter info above on length of tail etc.

Mounting fasteners?
Qty type (ie. Stud or standoff, dia, thread type)
Qty type (ie. Stud or standoff, dia, thread type)
Qty type (ie. Stud or standoff, dia, thread type)

Elastomer Keypad:
# of Mold Colors:
# of Legend Colors:
# of Clear Coats on Legends:
Keytop Durometer: shore (optional)
Laser etched legends: yes or no

LED Backlighting:
Color red quantity:
Color green quantity:
Color yellow quantity:
Color blue quantity:

Fiber Optic Backlighting:
Length of tail bundle:
Light Source: if other, specify:
Voltage available: VAC Hz or VDC Voltage.

EL Backligthing:
Length of flex tail:
Color: if other specify
Connector: yes or no if yes type:
# of independently lit areas:
Voltage available: VAC Hz or VDC

Touch Screen:
Largest Dimensions: x
Digital: # of rows # of columns
Analog: Linearity 3%, 4% or 5%
Nema 4: does this panel have to meet Nema 4 water tight construction from the edges?
Yes or no.

Brief description of your company: (Required)