Company Name:
Address:
City:
State/Zip:
Phone Number:
Fax Number:
Email Address:
Contact Name:


Part Number/ Name:              Rev:

Quantity: 

Qtty 1:      Turnaround Time:
Qtty 2:
     Turnaround Time:
Qtty 3:
     Turnaround Time:

Job Status:          

If this is a repeat order skip rest of the form and click Submit Quote  at the end. 



Board Size:       x             y   

Board Type:          If Multi layer No. of Layers:  
Material Type:  
   If other, specify:    
Material Thickness: 
      If other, specify:    
Finished Copper Weight(oz.): 
(outer layer) 
Copper Weight(oz.): 
(inner layer) 



Circuitry:
Minimum Line Width:  mils.
Minimum Spacing:  mils. 

Surface Mount:   
Smallest Pitch:
No. of SMT pads on Comp side:
No. of SMT pads on Solder side:
Holes:
Quantity  Number of sizes 
Smallest Hole size:  mils. 

Panel Routing:         
       If yes:      
Routed Panel Size:        


Solder Mask:                 
Mask Type:    
Silkscreen (Legend):     



Surface Finish:       If Other Specify:
                                        
Gold Tabs:  

Electrical Test:    




Special Requirements



 

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