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Personal

Company

Name*

Contact Title

Email*

Phone*

Fax

Address

City

State

Country

Zip Code

Check here if Ship To address is same as above

Part Information

Part #

Rev:

Sales Person

Quantity

Delivery (in days)

Quantity

Delivery (in days)

Quantity

Delivery (in days)

Quantity

Delivery (in days)

Layer, Material, Surface

Layer

Material

RoHS

RoHS Compliant

If Other, Define:

Overall Thick:

Surface Finish

If Other, Define:

Mask and Silkscreen

S/M Color

S/M Sides

S/M Type

If Other, Define

Legend Color

Legend Sides

Dimensions

Board Width

Board Length

Array Size and #Up if applicable

YesNo

[group array_yes]

Array Width

Array Length

#Up

[/group]

Circuitry

Line width

Space

Finished Copper Weight - Inner Layer

Finished Copper Weight - Outer Layer

Drill and Route

# of Holes

Smallest hole

# of Slots

Minimum Radius

Select Part Specifications

For items selected below, please forward design data with request

Scoring Specs

Gold Finger Specs

Pricing

Pricing Per Array/Piece:

Specs

Options

SMT Sides

SMT Pitch

Electrical Test

YesNO

Express Quote

Personal

Part Information

Layer, Material, Surface

Mask and Silkscreen

Dimensions

Circuitry

Drill and Route

Select Part Specifications

Pricing

Special Notes