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Customer
Name:
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Phone
Number:
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E-Mail
Address:
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Part
Number:
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Board
Size (Length x Width):
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L W
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Quantity
of Boards:
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Delivery
(When needed):
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Material
Thickness:
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.031"
.062" .093"
.125" other
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Single
(SS) Double (DS) Sided or 4 or 6-layer:
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SS
DS 4
6
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Initial
Foil Weight (1 oz, 2 oz, other):
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½oz
1oz 2oz
3oz 4oz
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Plated
Thru Holes (Yes, No):
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Yes No
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Surface
Mounts (Yes, No):
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Yes No
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SMT -
1 side or 2 sides:
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1 side 2
side
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Quantity
of Holes:
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Number
of Hole Sizes:
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Smallest
& Largest Plated Thru Hole Size (.008" or 8mil Min.):
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Internal
Cut-outs (If yes, give dimensions):
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External
Cut-outs (If yes, give dimensions):
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Gold
Plated Tabs (Yes, No):
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Yes No
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If
yes, how many tabs on each side of board:
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Solder
Mask (1 or 2 sides):
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1 side 2
side
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Nomenclature
(1 or 2 sides):
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1 side 2
side
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Surface
Coating (HAL, Immersion Silver, ENIG, Immersion Tin):
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HAL AgENIG Sn
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Electrical
Test (Yes, No):
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Yes No
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Shipped
in array (Yes, No):
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Yes No
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If
yes, number on array:
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Dimensions
of array:
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Are x-outs
allowed (Yes, No):
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Yes No
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Countersink
(Yes, No):
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Yes No
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Peelable
(Yes, No):
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Yes No
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Carbon
Ink (Yes, No):
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Yes No
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Score
(Yes, No):
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Yes No
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Other
comments:
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NOTE: Price is based on
engineering information only and is subject to review
when the final artwork and drawings are available.
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