PCB Assembly Request for Quote

Complete either the 2 hour or 24 hour response form:

PCB Assembly Request for Quote (2 Hour Response)

* Indicates required field

Board name or part number: *

Technology: *

Board size in X" direction: *

Board size in Y" direction: *

Total number of surface mount components: *

Surface mount component attachment: *

Total number of through hole components: *

Through hole component attachment: *

Number of component types: *

Quote some or all component procurement? *

Yes No

Customer supplied components? *

Yes No Partial

Finest leaded surface mount PITCH: *

Other: *

Finest BGA or leadless device PITCH: *

Other: *

Board material type: *

Other board material type: *

Board thickness (inches): *

Total layer count: *

Copper weight for inner layers: *

Surface plating: *

Other surface plating: *

Option 1 turnaround (working days): *

Option 1 quantity: *

Option 2 turnaround (working days): *

Option 2 quantity: *

Option 3 turnaround (working days): *

Option 3 quantity: *

Name *

First

Last

Email *

Phone Number *

Company name: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Comments: *

Upload additional information: *

Max file size: 20MB

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