| * Required Field |
Contact Information |
| Company Name: |
* |
| Contact Name: |
* |
Phone Number: |
* |
| Fax Number: |
|
| Email Address: |
* |
How did you hear about GVP Inc.?: |
|
| If Other, list here: |
|
Part Information |
| Part Number: |
* |
| Expected Annual Usage: |
* |
| Requested Tolerance +/-: |
* |
Does this overlay require UL, CSA, or other certification?: |
Yes No |
| If yes, what?: |
|
Do you have a print?: |
Yes No |
| Do you have an existing digital file?: |
Yes No |
| Do you have existing tooling?: |
Yes No |
Material Required: |
* |
| Adhesive?: |
Yes No* |
| If yes, what type?: |
|
| Overall Overlay Dimensions: |
* |
| Required Overall Thickness: |
|
Does this overlay have display windows?: |
Yes No* |
| If yes, are they tinted?: |
Yes No |
| Do the windows need to be free from adhesive?: |
Yes No |
Are there any cut-outs?: |
Yes No |
| If yes, how many?: |
|
| Are there any Deadfront Graphics?: |
Yes No |
UV Clearcoat: |
Yes No* |
| If yes, is it selective?: |
Yes No |
Please list all colors, including background, window tint, graphics, and UV.
*
|
Does this overlay need to be embossed?: |
Yes No* |
| If yes, please choose type: |
|
| If other, please list: |
|
Environmental Information |
| Operating Environment: |
*
|
Specific Operating Conditions:
(Extreme Heat or Cold, High Humidity...etc.) |
|
| What chemicals will this be exposed to?: |
|
Type of Application: |
|
What type of material will this overlay be applied
to?: |
HSE LSE
Metal Other* |
| If other, please list type: |
|
Does this overlay require Medical Grade
Components?: |
Yes No |
Does this overlay require a Membrane Switch?: |
Yes No* |
*If this part requires a membrane switch, please fill out a separate Membrane Switch Quote Form. |
Other Details / Instructions
|
