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Customer Information

Company Name*

Address*

City*

Country*

Province/ State*

Contact Name*

Email*

Telephone*

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General Information

Part Number

Rev Level

Quantity Required

Build Ship Qty

EAU

Delivery Required
5 Days7 Days10 DaysStandard

Specifications

Board Size
x cminch

Assembly Panel Size
x cminch

Fabrication
ScoreRouteCombination

Material Type
Standard FR4GFGHigh Td RoHSPolyimideOther

If Other, Please Specify

Material Thickness
0.0620.0930.125Other

If Other, Please Specify

Number of Layers

Min. Lin Width
Inner: Outer:

Min. Spacing
Inner: Outer:

Board Finish

If Other, Please Specify

Solder Mask
LPIDry Film
Colour

Surface Mount
NoneOne SideTwo SidesBGA

Smallest Pitch

Base Copper

Outer Layer
1/2 oz1 oz2 oz3 ozOther

Inner Layer
1/2 oz1 oz2 oz3 ozOther

If Other, Please Specify

Gold

Tips
Area Covered Min. Thickness

Drill Holes
Quantity: Smallest Size: Smallest Size Qty:

Other Process Required:

Buried Via
Blind Via Via Layers to
Peelable MaskCarbon InkControlled Impedence

Describe Impedence Layers:

Fabrication Specifications

If Other, Please Specify

Attach Gerber Data:
Must be ZIP file of 10 MB or less.
(Attach file prior to submitting form.)