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Custom Design LCD/LCM Demand List

1.1 Company Name:

Telephone Number:

Fax Number:

Address, City, State/Province:

Country:

Post Code:

Contact Persons (first & last names):

Tel. No.& Ext:

E-mail address:

2. Application:

3. Schedule of Demand:

Estimate Quantity:

Sample Delivery Date:

Mass Production Delivery Date:     

Qty/month:

Total Qty/year:

4. LCD Panel Type:

4.1 Static:

4.2 Multiplexing:

Duty:

4.3 Segment:

Segment number:

4.4 Character Type:

4.5 Graphic Type:

Width * Hight =

BIAS:

character(s) 

*

line(s)

*

dots