REQUEST QUOTE

Please Call us at (760) 489-1413 to obtain a direct quote.

Please Submit all of the following information. Upon completetion, all the information will be sent to a customer service representative and processed by hand since all customer requests are unique.

CONTACT INFORMATION

First Name Last Name Company Street Address City State - AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Zip Country Telephone A value is required.(000) 000-0000 FAX E-mail

BOARD INFORMATION

PART NUMBER REV.LEVEL MATERIAL TYPE # OF LAYERS LENGTH WIDTH OVERALL THICKNESS # OF HOLES SMALLEST HOLE SIZE # OF TOP SMT PADS # OF BOT. SMT PADS MIN TRACE/SPACE SMALLEST SMT PITCH

NUMBER OF BOARDS / PALLETS PALLET LENGTH PALLET WIDTH

N/C Rout? Yes No

Method of Separation Break Away Scoring

LPI Soldermask Yes No Other

Silk Screen One Side Two Sides

PLEASE CHECK APPLICABLE ITEMS

Gold Fingers if so, Linear Length Number of Fingers Plugged Vias

SPECIFICATIONS

IPC Standard Class Class 2 Class 3   Mil-PRF-55110

ADDITIONAL INFORMATION

Electrical Test Yes No   Fabrication Info: Gerber Files- Yes No   Fabrication Info: Film Positive- Yes No

List Requested Quantity and Lead Time in Working days

QTY	TURN AROUND IN DAYS/ HOURS

PLEASE ENTER ADDITIONAL COMMENTS