*Name

Company

*Phone Number and Ext.

*E-Mail

New Job

New Revision

Repeat Order

*Part Number

Slots

*Board Size

*Material Thickness

.015 .031=1/32 .047 .062=1/16 .093=3/32 .125=1/8

*Number of holes

*Number Of Hole Sizes

Plating

*Plated Thru Holes

Material Grade

Material Finshed Grade

1 oz 2 oz 3 oz 4 oz

*Layers

Copper Weight Inner

0.5 oz 1 oz 2 oz 3 oz Outer 0.5 oz 1 oz 2 oz 3 oz 4 oz

*Solder mask

*Legend

No 1 Side 2 Sides

Gold Tabs

Legend Color

White Black Yellow

Artwork Supplied

Gerber Files Supplied

No Yes

Drill File Supplied

# of Surface Mount Pads Side1

Side 2

Electrical Test

Number Of Gold Fingers

*Quantity

*Delivery

24 Hour 2 Day 3 Day 4 Day 5 Day 2 Weeks Standard

Quantity

Delivery

2 Day 3 Day 4 Day 5 Day 2 Weeks Standard

Quantity

Delivery

2 Day 3 Day 4 Day 5 Day 2 Weeks Standard