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    Request a Quote

    Fields marked with an asterisk (*) are required.

    *Company Name: *Your Name: *Phone:
         
    *E-mail: Your Salesperson:  
       
    Address:        
     
    City: State: Zip Code:
         
    Country        
         
    *Part Number:   Revision:   *Quantity:
             
    *Lead Time:
    *Repeat Order?   *Sending data file?     Data file name:
         
    Specification:
    Part Dimensions (inches):   Array Dimensions (inches):
    X  Y     X  Y  
    # Parts/array: Layer Count:
     
    Material Type:
    Board Thickness:   Copper Weight (oz):
     
    Line Width (mils):  
    Surface Finish:  
    Solder Mask: Controlled Impedance:
    Impedance Detail: Impedance Tolerance:
    Blind or Buried Vias:
    Comments:
    Please use this area to define any items you marked "other" or to provide additional information you would like considered during quotation
     
     
       
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