Poly-Optical Information Request Form

 

Please fill in the following to request information, brochures, quotes, or samples.  Or, call our sales department at 949-250-8557 for faster service

  Name  
  Title  
  Company Name  
  Address  
  Email Address  
  Phone Number  
  How did you hear about Poly-Optical?  
  Application  
  For example:  LCD Backlight, Membrane Switch Backlight, Machine Vision, Medical, Automotive, Military, etc.
       
  Annual Quantity  
  Length  
  Width  
  Cable Length  
  Max Thickness  
  Color  
  Power Available  
  Brightness required  
       
 

What type of backlight do you currently use?

 
  Which type(s) of backlighting are you evaluating?  
       
  Other Comments  
       
 
 
       
   
 
 

 

Poly-Optical Products, Inc.
A Division of Lumitex, Inc.
17475 Gillette Avenue
Irvine, CA  92614 USA
Phone: 949-250-8557
FAX: 949-250-1840
email: popi@poly-optical.com

 

Copyright 2003 Poly-Optical Products, Inc.