CCM Suggest or Custom Request

CCM Questionnaire

We would be happy to assist in suggesting the best module for your application and program life, or determine if a custom module would be beneficial for your application. Please complete the following form to submit directly to Truly. Our engineers will review the information. We will be in contact with you shortly to provide more information, part number, drawings and specifications. Thank you.

Representative Name (If known)

Customer/Engineering Name (First, Last) *

Customer Name/OEM *

Customer Email Address *

Program Name/Application *

Estimated Annual Usage *

Program Life *

Production Start *

Operation system / Platform (Pls list processor suite) *

Truly can advise if driver design issue

Image criteria of customer, like resolution, shading etc, *

Default: Truly standard

Pixel & Size Desired

Sensor Preference

Target Distance for Fixed Focus module?

Any initial drawing and/or 3D drawing?

Yes

If available, we will email to request.

Is there any logo to be on the CCM module?

Yes

Default: No; if yes, we will email to request.

Environmental requirements: RoHS, non-halogen, REACH,or other?

Default: ROHS only, or please provide your special Environmental requirements here

Reliability test list of customer

Default: Truly standard

Target Price *

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