On-line Prototype Approval Form
How did we do?
How did we do?
DISCLAIMER
By submitting this form you approve this prototype as is or with the changes noted below. Design changes deviating from the original specifications or corrections requested at a later time will be billable and may affect the delivery date. Customer is responsible for testing this prototype with respect to its suitability for the intended use and its conformance with all applicable codes and safety requirements. We stand behind the quality of our products and will replace or rework products that do not meet our standards of workmanship or do not comply with their material specifications.

OUR LIABILITY IS LIMITED TO THE REPLACEMENT VALUE OF OUR PRODUCTS AND WE PROVIDE NO WARRANTIES OF MERCHANTABILITY FOR A PARTICLULAR PURPOSE.
 
SKU # (on part label):
Part description:
Review based on:
 CAD File  Prototype
1. overall dimensions
 FIX  OK
2. cutouts & recesses
 FIX  OK
3. material & color
 FIX  OK
4. circuit board fit
 FIX  OK or N/A
5. membrane & label fit
 FIX  OK or N/A
6. other component fit
 FIX  OK or N/A
7. screws & inserts
 FIX  OK or N/A
8. coatings (EMI)
 FIX  OK or N/A
9. screen print
 FIX  OK or N/A
10. identification label
 FIX  OK or N/A
Proceed:
Instructions:
How did we do?
 poor  fair  ok  good  very good
What can we improve?
Authorized by:
Title:
 
 
2900 Westinghouse Blvd. - 118 |  Charlotte, NC 28273 |  1-866-649-8665 toll free
1-866-649-8665 fax       

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