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

KIT6000 Medical Keyboard RFQ Form

KIT6000 Series Medical Keyboard

NEMA 4 (IP66) Medical Keyboards

Features:

NEMA 4 (IP66) OEM Keyboard

Syn-Proof™ coating resists most oils and harsh chemicals

Excellent tactile feel, 2mm key travel

Miniature Keyboard Size

Contact Information
*Required Fields

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

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

Enclosure Options
Stainless Steel Black Aluminum Beige Aluminum

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

Operating System:
Windows Solaris Unix Real-Time Other:

Communication Interface*:
USB PS/2 RS-232 RS-485 Other:

Cable Length

Backlighting / Illumination *
No Green LED Red LED Other:(ex.NVIS)

Prototype Time Frame		Production Time Frame
Prototype Quantity		Production Quantity

Additional Information

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*This is RFQ Form is for KI7800 Industrial OEM Keyboard