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          Request a Quote

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          *Company Name: *Your Name: *Phone:
               
          *E-mail: Your Salesperson:  
             
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          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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