Printed Circuit Boards Request for Quote

Customer Information

(Note: * fields are required entries.)

Company *
Contact *
Address
 
City/State/Zip
Phone *
Fax
Email

Board Information

Note: For re-orders, type in the part number and rev, then skip to the
bottom of this form and type in the purchase order.

Order Type
Part Number *
Rev *

Dimensions

Length in. * Width in. *
Thickness * Layers *
If Other If Other

Holes

Total Holes * # Sizes
Smallest # Vias

Copper

Inner Outer

Board Material

*

Line and Space

Line * Space *
If Other If Other
Silk Screen Sides
Solder Mask Plug Vias

SMT Pads

Top Side
Bottom Side
Pitch If Other  

Advanced Features

Gold Finish? 

Tips   Edges 1  2  3  4
Total Linear In. Total Thickness Micro In.
Selective Plating
Hard
Soft
Thickness  in Micro In. Please provide detailed area on a seperate sheet.		 Full Body Plating
Hard
Soft 
Thickness  in Micro In.

 

Special Process

Score/V-Groove:     # of Lines:
Edge Milling:
Counter Bore or Counter Sink: 
Impedance Controlled  +- 5% +- 10%

Blind or Buried

Board Layout

IndividualPanelization

# UP Dimensions X

Testing

Comparison Net List No Test

Quantity and Delivery Information

Qty Required Delivery Request
Qty Required Delivery Request
Qty Required Delivery Request
Qty Required Delivery Request
Qty Required Delivery Request

Purchase Order
If you want to place this order immediately, please type
your purchase order number, and a sales representative
will call you upon receipt of this request for quote.

PO#

Data File Name

File
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Notes