QualTech Circuits, Inc. Quotation Form

Company Name:
Address:
City:
State/Zip:
Phone Number:
Fax Number:
Email Address:
Contact Name:

Part Number/ Name: Rev:

Quantity:

Qtty 1:      Turnaround Time:
Qtty 2:      Turnaround Time:
Qtty 3:      Turnaround Time:

Job Status:

If this is a repeat order skip rest of the form and click Submit Quote at the end.

Board Size: x y

Board Type:          If Multi layer No. of Layers:
Material Type:      If other, specify:
Material Thickness:       If other, specify:
Finished Copper Weight(oz.): (outer layer)
Copper Weight(oz.): (inner layer)

Circuitry:
Minimum Line Width: mils.
Minimum Spacing: mils.
Surface Mount:
Smallest Pitch:
No. of SMT pads on Comp side:
No. of SMT pads on Solder side:
Holes:
Quantity Number of sizes
Smallest Hole size: mils.
Panel Routing: If yes:
Routed Panel Size:

Solder Mask:
Mask Type:
Silkscreen (Legend):

Surface Finish:       If Other Specify:

Gold Tabs:

Electrical Test:

Special Requirements

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