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Contact Info :
Your Name:
Company Name:
Phone Number:
Fax Number:
E-mail address:
Part Information :
Your Part Number:
Total Quantity:
New Part Number to PCC? : Yes   No
New Revision? : Yes   No
 
  Quantity Lead Time (Days)
1
2
3
4
5
Board Specifications :
No. of Layers:
Board Size: inches x inches
Surface Mount:
Surface mount Side(s)
Minimum Pitch: inches
No. of Holes:
No. of SMT Pads:
Minimum Hole Diameter: inches
No. of NPTH Holes:
Size: , ,
No. of Slots or Cut-Outs:
Plated Slots:
Minimum Trace/Space: / inches
Material Specifications :
Type:
Thickness:
Copper Weight:
Outer Layers:
oz
Copper Weight:
Inner Layers:
oz
Total No. of Gold Fingers:
Size: X
Solder Mask :
SolderMask Type:
LPI
MAT
Semi Glossy
Glossy
Other Specify:
Color: Other Specify:
Mask Sides:
Silkscreen: Yes   No
Silkscreen Sides:
Silkscreen Color:
Art Work Supplied :
Film:
Drill Tape/Disk?: Yes   No
Drill/Fabrication Drawing?: Yes   No
Specifications and Testing :
Specifications:
Electrical Test:
Net List:
Delivery :  
Requested Delivery Schedule:
Quantity
Delivery Date (mm/dd/yyyy)
1
2
3
4
5
6
7
Notes/Special Instructions:
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