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Membrane Switches
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Quote Request Form

Name

Company

Address

City

State

Zip

Phone

Ext.

E-Mail

Existing Part?

Part Number

Quantities you would like us to quote: (Seperate by a "/") Our quick service prototype program is limited to 10 parts.

Material

Polyester
Polycarbonate
Nelson to Advise

Printing

Digitally Imaged Overlay
Printed Overlay
Nelson to Advise

Number of colors on the overlay (If Screen Printed)

Size

Number of Switches (If a Membrane Switch)

Switch Design

Overlay Only (Not a Membrane Switch)
Stainless Steel Domes
Polyester Domes
Non-Tactile
Other
Nelson's Discretion

Tail Length

Shield Required

To be adhered to a Low Surface Energy material? (Powder Coating)

Number of LEDs

Connection Type

Prepare for ZIF Connector
Female Connector
Other or Nelson's Discretion

Upload File

Memo:

Use the following form to request a quote for new or existing parts.

These Fields are Required

Nelson has the design experience to assist you with providing us the information to be successful. You can fill in the data you are comfortable with and leave the rest blank. You will be contacted by a design engineer who will walk you through the process of specifying your part.