CTI Electronics Telephone Number: +1 203-386-9779

KIT3000 Industrial Rackmount Keyboard RFQ Form

KIT3000 Series Rackmount Keyboard

Sealed Rack Mount Keyboards w/ 2.0" Trackball

Features:

NEMA 4 (IP66) Rackmount Keyboard

Syn-Proof™ coating resists most oils and harsh chemicals

Full-Travel Keys

Full-Size Keyboard

2.0" Trackball

9.5ft (290cm) Standard Cable Length

Contact Information
*Required Fields

Full Name*			Company Name*
Address 1			Address 2
City			State
ZIP/Post Code			Country*
Phone*			Fax
Email*

Industrial Rackmount Keyboard Information and Options
(Please answer all questions to get the most accurate quotation)
Describe the application of the Industrial Keyboard*

Keyboard Language Options
US QWERTY UK QWERTY French AZERTY Spanish QWERTY German QWERTZ
Italian QWERTY Portuguese QWERTY Other:

Environment of Usage
Indoor Outdoor Other:

Operating Temperature
(-40°C to 0°C) (0°C to +40°C) (+40°C to +80°C) Other:

Hazardous Substances
Yes No
If Yes, check all that apply.

Liquids

Water

Oil

Grease

Bio-Hazard

Chemical

Other:

Solids

Dirt

Dust

Food

Bio-Hazard

Chemical

Other:

High Emission Signal

EMI

RFI

Specifics

Describe the tasks an Operator will perform while using the Industrial Mouse Pointing Device:

How many hours of an eight hour day will the Industrial Mouse be used?
Operating System:
Windows Solaris Unix Real-Time Other:

Communication Interface*:
USB PS/2 AT-Port Other:

Prototype Time Frame		Production Time Frame
Prototype Quantity		Production Quantity

Additional Information

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*This is RFQ Form is for KIT3000 Series Rackmount Keyboard