Requesters' Name
Email Address
Company Name
Company Address
City State ZIP
Phone Fax No
Part Number
Revision:
Board Width Board Length Board Thickness
Layer Count Hole Count # of Hole Sizes Smallest Hole Copper Weight 1/4 1/2 1 2 3 4 Design (select one) PTH only SMT 1 Side SMT 2 Side
Material Type FR-4 Tg180 FR-4 Tg130 Polyimide PTFE Woven PTFE Unwoven Ceramic Kevlar Cyanate Ester Flex Flex Rigid Other(note below)
Specification Level MIL- P-55110 IPC Class 1 IPC Class 2 IPC Class 3 IPC-6012 NHB 5300.4(3I) Bellcore U.L. Other(note below)
Line width/space width: 3/3 8/8 4/4 5/5 6/6 10/10 12+/12+
Smallest SMT pitch: 15 18 20 25 50+
Electrical Test: a/b side netlist a side netlist a/b side comparison flying probe double side clam shell none other(note below)
Solder Mask: dry film LPI wet thermal cure none other(note below)
Please select Options as applicable Tin/Lead Plate & /Fuse Gold fingers External Heatsinks Blind Vias Hot Air Solder Level Full body / Select Gold Internal Heatsinks Buried Vias Please select options as applicable:
Tin/Lead Plate & Fuse Hot Air Solder Level Gold Fingers Full Body / Select Gold External Heatsinks Internal Heatsinks Blind Vias Buried Vias Hole Fill Tented Vias
Please Indicate Quantity of Boards and Lead Time:
Quantity Lead time Quantity Lead time Quantity Lead time Quantity Lead time
