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Name:
Company:
Address:
City:
State:
ZIP:
Phone:
FAX:
E-Mail:
PCB Name:
Part Number:
What kind of service do you require:
Engineering Design
Schematic Capture
PCB Layout
Signal Integrity
Fabrication
Assembly
Full Turnkey Services
Layout Information
Pin Count:
(or supply BOM)
Part Count:
PCB Design Lead Time:
Proposed Start Date:
PCB Technology:
% Digital
% Analog
High Speed:
RF:
Diff. Pairs:
Matched Lengths:
Crosstalk:
Impedence Control:
Through Hole:
Blind / Buried Vias:
Micro Vias
Mixed Technology:
Flex / Rigid Flex:
Power Supply:
DDR Technology:
Single Sided Surface Mount:
Double Sided Surface Mount:
Will a statement of work (SOW) be submitted?
Yes
No
Will a netlist be submitted?
Yes
No
If yes, what format?
Will a schematic be submitted?
Yes
No
If yes, what EDA tool?
Approximate # of schematic pages:
Will the BOM have manufacturer's part numbers?
Yes
No
Will the schematic have PCB footprint properties?
Yes
No
Will you provide mechanical datasheets for every part?
Yes
No
Suggested Layer Count:
Suggested Layer Stack-up Provided?
Yes
No
Will a board outline or mechanical drawing be provided?
Yes
No
Will a DXF or EMN file be included?
Yes
No
Approx. Board Size
:
X
Approx. Layer Count:
Board Thickness:
.031
.062
.093
.125
Other
Will a preliminary placement or assembly drawing be included?
Yes
No
Test points for every net (in circuit test)?
Yes
No
Fabrications Information:
Production
Prototype
Do you have a prefered fabricator vendor?
Yes
No
Name of your vendor:
Material:
Copper OZ:
Size:
Smallest Hole Size:
# of different sizes:
Total Hole Quantity:
Surface Mount Pads Top:
Surface Mount Pads Bottom:
Silkscreen:
One Side
Two Side
Min. Trace Width & Space:
Solder Mask Type:
Solder Mask Color:
Finish Type:
Edge Gold Fingers:
Electrical Test:
IPC356
Standard
Quantity:
Delivery:
Special Instructions:
