Order Information for Custom Designed LCM
*
Title
TITLE
Mr.
Ms.
Mrs.
Madam
Dr.
*
Name
*
Company Name
*
Phone
*
E-Mail
*
Fax
*
Address
*
City / State
Country
Albania
Argentina
Afghanistan
Algeria
Australia
Belgium
Brazil
Chile
China
Canada
Colombia
Costa Rica
Czech Republic
Germany
Denmark
Egypt
Ecuador
El Salvador
Finland
France
Greece
Hong Kong
Hungary
Indonesia
Ireland
India
Israel
Israel
Italy
Jordan
Japan
South Korea
Lebanon
Morocco
Malaysia
Mexico
Netherlands
Norway
New Zealand
Austria
Philippines
Pakistan
Poland
Portugal
Peru
Puerto Rico
Russia
Croatia
Romania
Russia
Saudi Arabia
Sweden
Spain
Singapore
Switzerland
Thailand
Turkey
Taiwan
United Arab Emirates
United Kingdom
United States of America
Ukraine
Venezuela
Fmr Yugoslavia
South Africa
Bulgaria
Other Country
(if not listed
)
LCM NO.
Date
Module Application
Target Price (USD)
(optional)
Quantity
Trial Production Date
Mass Production Date
LCM Type
COG
COF
TCP / TAB
COB / SMT
Others
With Bezel
Yes
No
Backlight
Without
Bottom LED
Side LED
EL
CCFL Other
Others
Backlight Color (If Relevant)
Yellow-Green
Blue
White
Other
External Interfacing
Heat Seal
Prepare Contact Pad Only
Include in the Module
Pin Connector
Prepare Contact Pad Only
Include in the Module
FFC
Prepare Contact Pad Only
Include in the Module
Others
Prepare Contact Pad Only
Include in the Module
Pitch
CCT Propose
No. Of Pins / Pads
CCT Propose
Pin Shape
Sq.
Round
Diameter (mm)
CCT Propose
LCD Specification
LCD Type
TN
HTN
STN (YG/Grey)
FSTN
Other
Drive Voltage
VLCD
Viewing Angle
6 O'Clock
12 O'Clock
Others
Display Mode
Positive
Negative
Polarizer - Rear
Transmissive
Transflective
Reflective
Visual
Specification
Normal
Antiglare
Display Content
Character Layout
Char.
Lines
Character Font
Cursor
Yes
No
No. Of Icons
Graphic Type
Others
Glass Area
CCT Propose
Active Area
CCT Propose
Dot Size
CCT Propose
Pitch Size
CCT Propose
Extended Order Information
* All above information must be completed before submitting this form.