Name *

Company *

Email *

Address:

Street Address

Apt, Suite, Bldg. (optional)

City

State / Province / Region

Postal / Zip Code

Country AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Your Board Part # *

How Many Layers 24681012141618202224

Board Thickness *

Quantity *

Board Size X *

Board Size Y *

Do you need your boards Single-up, or panelized * SingleIn Panel

(If panel) Are X-Outs allowed YesNo

Number of drilled holes *

Smallest hole Size *

Number of hole sizes *

Are there non-plated holes * YesNo

What Soldermask Color do you prefer * GreenMatte GreenRedBlueBlackYellowSTD WhiteBrilliant Reflective WhiteClearNo SM

What Legend Color do you prefer * WhiteYellowRedBlackNone

One, or two sides of legend * 012

Desired Finish * ENIG GoldImmersion SilverHASL

Do you require UL approval YesNo

Does your board require impedance control Single Ended Impedance ControlDifferential Impedance ControlN/A

SPECIAL REQUIREMENTS: Does your board have any of the following requirements for via holes blind viasburied viasepoxy-filled viasconductive plugged and plated viasnon-conductive plugged and plated viasPlated SlotsNon-Plated Slotscontrolled depth drilling or routingCountersinksCounterboresPemnuts

Does the board require High Heat dissipation (Metal substrate)? YesNo

Does the board have printed resistors or Carbon Ink N/APrinted ResistorsCarbon Ink

Does the board have Hard Gold Tabs, Hard Body Gold, or Selective Dual Surface Finish N/AHard Gold TabsHard Body GoldSelective Dual Surface Finish

Does the board require Hi-Pot Testing YesNo

Does the board require Peelable Soldermask YesNo

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