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                    Request a Quote

                    Fields marked with an asterisk (*) are required.

                    *Company Name: *Your Name: *Phone:
                         
                    *E-mail: Your Salesperson:  
                       
                    Address:        
                     
                    City: State: Zip Code:
                         
                    Country        
                         
                    *Part Number:   Revision:   *Quantity:
                             
                    *Lead Time:
                    *Repeat Order?   *Sending data file?     Data file name:
                         
                    Specification:
                    Part Dimensions (inches):   Array Dimensions (inches):
                    X  Y     X  Y  
                    # Parts/array: Layer Count:
                     
                    Material Type:
                    Board Thickness:   Copper Weight (oz):
                     
                    Line Width (mils):  
                    Surface Finish:  
                    Solder Mask: Controlled Impedance:
                    Impedance Detail: Impedance Tolerance:
                    Blind or Buried Vias:
                    Comments:
                    Please use this area to define any items you marked "other" or to provide additional information you would like considered during quotation
                     
                     
                       
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