Phoenix Display – Quote Response Form

Please complete the quote response form with as much information as you have readily available. If your LCD display is based on an existing design you can skip this step and attach any documentation that you may have, or simply list the manufacturers part number of the display that you are currently using. Either way, our engineering design team will quickly evaluate your information, help to fill any holes, and quickly get you an accurate quote for your specific display needs.

Name*

Email*

Company*

Phone Number

Optional Display Information

LCD Display Type

Display Format Other

Display Size ( A.A. Diagonal ) Other

Viewing Mode

Glass type

Backlight Other

Touchscreen

Program Information

Estimated Annual Volume - You can enter up to 3 values

Additional Information / Notes

Manufacturers Part Number

If you have any Display Documentation / Specs, you can upload them here: