Quotation Request Form

Company Name:    
Contact Name: E-Mail:
Telephone No: Fax No:
Address:
Board Title/Reference: Issue Number:
Qty Required: Batch Size:
Delivery/Turnaround:    
Number of Layers: Impedance: Yes   No
Circuit Dimensions: X  
Biscuit Panel Dimensions: X  
Profile: Individual   Biscuit   Scored
Number of Plated Holes:    
Number of Hole Sizes:    
Minimum Hole Size:  
Solder Resist:       
Solder Resist Type: Photoimageble
Other
   
Legend: Yes   No    
Overall Board Thickness:    
Metal Finish: HASL
Electroless Nickel Gold
Silver
Other
BBT: Yes   No

Please complete the following sections

Please indicate any other details which may be of assistance: (i.e. Slots, Cut-outs, Gold fingers, etc.)