Company Name* Contact Name*
Email Address* Phone Number
Part Number Rev
   
SCHEDULE
Quantities Needed

Lead Times (Days)
BOARD TYPE / SIZE

Rigid      Flex     Rigid Flex

Number of Layers     Length     Width

Array Required     Maximum Array Dimensions

CLASSIFICATION
Commercial     IPC6012     IPC6013

Class 1     Class 2     Class 3
DRILLING

Number of Holes     Minimum Hole Size Finished     Smallest Pad Size

Countersink     Counterbore

MATERIAL

Material Type         Overall Board Thickness

Internal Cu. Weight (Finished) oz.         External Cu. Weight (Finished) oz.
SURFACE FINISH

HASL     ENIG     ENEPIG

Immersion Silver     Gold Fingers

Other Finish

SOLDER MASK

None     One Side     Both Sides

Color

LPI     LDI

SILKSCREEN

None     One Side     Both Sides

Color

CIRCUITRY

Minimum Line Width     Minimum Space Width

Via in Pad Technology     Blind Vias     Buried Vias     Micro Vias

Contolled Impedance     High Density Interconnects

ADDITIONAL SERVICES AND TESTING

TDR Testing     Netlist Compare     HiPot     Peel Strength     Thermal Shock

ADDITIONAL REQUIREMENTS