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Part Number: Number of layers:
Dimensions
Length: Width: Thickness:
Material
FR-4 Teflon Getek Other
Holes
How Many: How many sizes:
Smallest size: Hole tolerance:
Slots
Qty:
Width: Length:
Surface Mount Pads
Top Only Bottom Only Top & Bottom None Pitch:
Soldermask
LPI One Side None Green Red Blue Other LPI Both Sides
Legend
One Side None White Yellow Black Other Both Sides
Fabrication
Single Board Routed Break-Away Scored Array
Electrical Test
Netlist Opens\Shorts None
Does your board require any of the following?
Mil Spec Prf-31032 No Yes
Mil Spec Prf-55110 No Yes
Gold Contact Fingers No Yes
Blind or Buried Vias No Yes
Plugged Vias No Yes
Controlled Impedance No Yes
Other:
Quantities
Amount: Delivery: Standard 2nd day 1 week 2 week Other
Other Requirements or Comments
Contact Information
Company Name:
Company Address:
City:
State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Postal Zip:
Country:
Your Name:
Your Title:
Telephone Number:
Fax Number:
E-Mail Address:
