Request Proposal Form

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*First Name: 
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Fax: 
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BOARD INFORMATION

Part Number and
Description
Board Type: Single Sided   Double Sided  
Multilayer  If Multilayer Enter Number of Layers
Material: FR4   CEM1   CEM3   Teflon   Polyimide   Flex (Kapton)
Board Dimensions: X =    Y =
Panelize: Yes   No
If yes:   Scoring   Breakaway Tabs
Ounces of Copper: 1   2  3
Number of Vias:
Size of Vias:
Type: Surface Mount   Mixed Lines
Solder Mask: Yes   No
If Yes:   One Side   Two Sides
If Yes:   Wet   LPI
Solder Mask Color: Green   White   Black  
Other
Silk Screen: One Side   Two Sides   None
Silk Screen Color: White   Black   Yellow  
Other
Gold: Yes   No
If Yes:   Fingers   Imersion   Electrolytic
Palladium: Yes   No
Electrical Testing: Yes   No
If Yes:   Comparison Test (one time setup)
If Yes:   Probe Test (setup fee each time)
If Yes:   Clamshell Test (one time setup)
SMT Pad: One   Both   None
SMT Pads Pitch:
Number of SMT Pads: Side One
Side Two
Line Width:
Line Space:
Slots: Yes   No
Slots Plated: Yes   No
Edge Plating Needed: Yes No
Cut Out: Yes   No
Carbon Ink: Yes   No

Please list quantity, lead time and your bid requirements:

Quantity Lead Time Bid


Any Special Instructions:
 

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