Please provide the following contact information:

Company Name:
Name:
Work Phone:
FAX:
E-mail:
Application:
Date:

Please provide us with as much of the following product information as possible:

Display Type:	TN HTN STN B/W STN
Display Mode:	Positive Negative Yellow-green Blue Grey FSTN DSTN
Background:	Green Grey

LCD Length (M):		(A):	(B):	(C):
Top Width (R):		(D):	(E):	(F):
Bottom Width (Q):		(G):	(H):	(I):
Glass Thickness (U):		(J):	(K):	(L):
		(M):	(N):	(O):
		(P):	(Q):	(R):
		(S):	(T):	(U):

Configuration

(A):	(B):	(C):	(D):	(E):	(F):

Drive Method

Duty Cycle:	Bias:	Voltage: V
Wave: Type A	Wave: Type B	Frequency:

View Direction

9:00

3:00

6:00

12:00

Position of Sealing

Left

Right

Polarizer

Front:	Transmissive	Requirement		Pasted	Separated
Rear:	Reflective	Transmissive	Transflective	Pasted	Separated

LCD Connector

Zebra Strip

Pin

Heat seal

Temperature Range

Operating range:	°C to °C
Storage range:	°C to °C

Special Request

Pin insert:	Yes	No	Pin no. ea
Printing:	Yes	No	Color:

Environmental Requirements

High Temperature Storage	High Temperature / High Humidity Storage
Shock Resistance	High Temperature & Shock
Low Temperature Storage	Other Requirements

Other comments and details may be entered below:

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