Keypads custom manufactured rubber and plastic from Top Bound USA

BUDGETARY KEYPAD QUOTE REQUEST FORM

Keypad quote requests must be accompanied by a CAD file or other drawing that includes dimensions.
You will be asked to upload those files after you submit this form. (Hardcopy drawings can be faxed to 919-772-8073.)
Keypad orders are quoted at 5,000 pcs. minimum.


	Name:
	Company:
	Address:
	Address:
	City:
	State:
	Zip:
	Phone:
	Fax:
	e-mail:

	Please provide the following specifications for your keypad (hover over  for more information):

	Part Type:	Prototype	Volume:
		Production	Volume:

	Data Files/Drawings (to be submitted with RFQ)  
	A minimum submission of one 3D file and one 2D file is suggested:
	3D surface data file
	3D wireframe data file
	2D drawing file

	Force Specification:  
	Actuation Force:g ± g  
	Stroke: mm  
	Snap Ratio: % or To be determined by Top Bound USA  
	Return Force:  or To be determined by Top Bound USA

	Durometer (Material hardness):  
	Keytop:	 Shore A
	Base:	 Shore A

	Material Colors (Please use specific Pantone™ colors when possible):  
	1.    2.    3.    4.

	Conductive Contacts:  
	 Diameter: mm
	
	Legends/Graphics:  
	 Please specify other type:

	Printing Colors (Please use specific Pantone™ colors when possible):  
	1.    2.    3.    4.

	Protective Coating:

	Please provide a brief description of your application and any special requirements:

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