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Company Name:
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Your Name:
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Position:
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Telephone:
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Fax:
Email:
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Part Number:
 *
Issue:
Type:
Cct Length: Cct Width:  
mm
 * *
Number of Layers:
 *
inch
 * *
Cct Thickness:
 mm
Supplied in a panel:
Yes
No
Number of Ccts on panel:
Panel Length: Panel Width:  
mm
inch
Number of holes:
 *
Number of Drill Sizes:
 *
Smallest hole:
 *
Blind and Buried Vias:
Yes
No
Finished Cu Outer:
 oz
Min Track Width:
 thou
Cu Weight Inner:
 oz
Min track Gap:
 thou
Material if not FR4:
Surface Finish:
State if Other:
Sides of Solder Resist:
Sides of Silk Screen:
Sides of Peelable Mask:
Sides of Carbon Ink:
Bare Board Test:
Yes
No
Number of Test Points:
Single Sided Test:
Double Sided Test:
Gold Contacts:
Yes
No
Gold Edges:
Gold Thickness:
 microns
Gold Finger Quantity:
Gold Finger Length
 mm
Gold Finger Width:
 mm
Scoring
Yes
No  
Number of Scores X:
Number of Scores Y:
QA Release:
Information: (This is to include details of cut-outs, slots, blind or buried vias and any other information not covered above) Give us any information that may assist us in giving the best accurate quotation possible.
Comments:
  
Quote Req'd For:
Circuits
Panels
Quantity Req'd:
Batch Sizes If Req'd:
Delivery Required:
 days

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