Customer Touch Panel Questions

Please fill out and submit the form below and a Gunze representative will contact you.
First Name:*	Last Name:*
Company:	Email:*
Application/Usage:	Size:
Input method — Stylus/Finger:
Stylus     Finger
Surface treatment:
Anti-Glare  Anti-Reflective	Other
Operating Temperature (# of hours to be tested):
Storage Temperature (# of hours to be tested) :
LCD type:
Transmissive   Transflective   Monochrome   Reflective	Other:
Bezel and LCD drawing:
Is signature capture important? Yes      No
Is shock and vibration an issue? Yes      No
Does it need to be sunlight viewable? Yes      No
What operating system are you planning to use?
What touch panel controller chip/board are you planning to use? Data interface?
Please indicate a date (month/year) when the following are needed.
Mock-up samples (MM/YYYY):
Prototypes (MM/YYYY):
Ramp up schedule (MM/YYYY):
Full production schedule (MM/YYYY):
Please indicate quantities for the following:
Prototypes:
Ramp up:
Full production:
Comments: