Contact Information
Company Name:
Address #1:
Phone Number:
Address #2:
Fax Number:
City:
Purchasing Contact:
Extension:
Engineering Contact:
Extension:
State/Province/Zip/Postal Code:
Email Address:
Part Number / Name:
Revision:
You may enter up to (3) different quantity and delivery options.
Quantity:
(1):
(2):
(3):
Delivery Required(weeks / days):
(1):
(2):
(3):
Job Status...
New Job:
Reorder:
New Revision:
NOTE: If Reorder; please only provide the information that has changed.
Board Type....
SS:
DS:
ML:
Number of Layers:
Board Dimension:
X:
Y:
Material Type:
FR4:
Other:
Material Thickness:
Copper Weight in oz.
[Outer Layer] H:
1:
2:
Other:
Copper Weight in oz.
[Inner Layer] H:
1:
2:
Other:
Certification.
U.L. Logo Required:
Certificate of Compliance:
Circuitry.
Minimum Width:
mils.
Minimum Spacing:
mils.
Holes.
Quantity:
Number of Sizes
Smallest Hole Size:
mils.
Vias.
Blind - Quantity:
Buried - Quantity:
Panel Routing.
Yes:
No:
Routed Panel Size.
X:
Y:
Solder Mask.
None:
1 Side:
2 Sides:
Color:
Green:
Other:
Mask Type.
LPISM:
Other:
Silkscreen (Legend).
None:
1 Side:
2 Sides:
Color.
White:
Other:
Final Plating.
Tin/Lead:
Solder Levelling(SMOBC):
Bare Copper:
Gold:
Gold Tabs.
None:
Yes:
Number of Edges:
Electrical Test.
No:
Yes:
Number of Holes to be tested:
Minimum Spacing:
Surface Mount Pads.
No:
Yes:
Number of Pads.
Side-1:
Minimum Spacing (pitch):
Side-2:
Photoplotting.
No:
Yes:
Number of Plots:
Photo Reduction.
No:
Yes:
Quantity:
You will provide.
Gerber Files:
Drill File:
1:1 Artwork:
2:1 Artwork:
Note: We prefer Gerber Files with Aperture List and Drill File.
Please note any special requirements in the text area provided below:
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