Information Request Form

Application Worksheet
For specific answers to your keyboard applications, or for product pricing, please fill out and submit this form. One of our applications engineers or sales people will contact you with the answers you need. This sheet will expedite your request.
* required    
Name:   Title:
 
Company:   Email: *
 
Address:   Address:
 
Mail Stop:   City, State, Zip, Country:
 
Phone: *   Fax:
 
     
     
Type of Application:  
If other, please specify here:  
Is this a new application?   Yes No
Do you want...   Standard Custom
Desired Cortron model #:  
Total quantity required  
Quantity per year:  
Project Reference/Name:  
 
 
Product Characteristics
     
Required # of keys:  
Keyboard interface:  
        - If other specify:  
Integral pointing device:  
Pointing device interface:  
        - If other specify  
RS232 with either of these protocol:  
     
Enclosure:   Plastic Metal
Color:    No (Raw)
Top panel mount:   Yes    
Rear panel mount:   Yes    
           
Dimensional Limitations:          
Height:      
Length:      
Depth:      

Cable:

      

Length:

      

Key legends/Keycaps

      
 
 
Rack mounting:   Yes No
If Yes:  
If other specify:  
Mounting depth:  
Mounting surface flange:   Front Rear
Mounting holes:   1/2" 5/8"
Padded wrist rest:   Yes No
Expected shock loads  
Lock-in/Lock-out   Yes No
Extension limitations:  
 
 
Environmental:    
Electromagnetic:  
     
Temperature:    
Operating:  
Non-operating:  
Humidity:  
Shock levels:  
Spill proof salt/Fog
Vibration levels:		  
Rain sand/Dust
Explosion proof other:		  
 
 
Available Options/Services:
   
Backlighting with brightness knob
Conformal Coating for long-term(10-20 year)
Protection against humidity and corrosion
Keycap retainers for excessive shock (100+g)
Shock sensing switch
(stops key codes from going to host during high shock events)
Stainless Steel Hardware
Bar coded labeling
Custom firmware/protocol
Keyboard controlled speaker alarms
Snap-down feet
Burn-in (Elevated Temperature)
Long-term support commitment

Home    |   RFQ - Request for Quote   |    Site Map    |    Search
Customer Service / Contact Us    |    Corporate Profile - Mission      |    Quality   
Cortron, Inc.
  Methuen, MA 01844  978-975-5445  www.cortroninc.com