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CIRTECH INC. PRINTED CIRCUIT BOARD FORM

Requesters' Name

Email Address   

Company Name

Company Address 

City State ZIP

Phone Fax No


Part Number

Revision:


Board Width Board Length Board Thickness

Layer Count Hole Count # of Hole Sizes Smallest Hole Copper Weight Design (select one)


Material Type

Specification Level

Line width/space width:

Smallest SMT pitch:

Electrical Test:

Solder Mask:


Please select Options as applicable Please select options as applicable:



Tin/Lead Plate & Fuse      Hot Air Solder Level

Gold Fingers               Full Body / Select Gold

External Heatsinks         Internal Heatsinks

Blind Vias                 Buried Vias     

Hole Fill                  Tented Vias             


Please Indicate Quantity of Boards and Lead Time:

Quantity Lead time
Quantity Lead time
Quantity Lead time
Quantity Lead time


 

 

 

 

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Last modified: September 07, 2008