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Contact Information   (* = required)
First Name *

Last Name *

Company Name *

Address *

City *

Province/State *

Country *

Postal/Zip Code

  
Telephone*
Ext.

Fax

E-Mail *

How would you like us to contact you?

How did you hear about us?


PCB Layout/Design
Planned Project Start Date (optional)

 dd  mm  yyyy

Planned Completion Date  dd  mm  yyyy

Project Information

Project Scope * New Design Redesign
Prototype     Production
Please describe in as much detail as possible what you would like done.
Board Name  
Number of Pins *

Number of Components *

Number of Nets *

Please attach a soft copy of schematics

 

Will you provide PCB layout guidelines?

   
Will you provide mechanical details?    
Will you provide a Preliminary Placement?    
Will you provide Component Footprints?    
Required PCB Layout Tool?
If Other, specify:
Board Thickness

 inches
If Other, specify: inches

Number of Layers *
Signal Layer Count *

Board Size

  x
in cm
Board Type

 (optional)


Component Geometry

Functional Test Points?

 
In-Circuit Test Points?  
Special Design Guidelines?

 Description
Blind/Buried/Micro Vias?
Electronics Assembly Standards IPC      
Class   
Level 
Other

EMI Shielding?
BGA Pin spacing < 1mm?

BGA or Other Device Sockets?

Via Stitching?
Heat Sinking Required?

  
Please specify

Routing Technology - Check all that apply
Controlled Impedance High Speed Digital (> 100 MHz)
Differential Pairs

Digital (> 3 GHz)
Matched Line Lengths Analog 
Military Standard Radio Frequency 
High Voltage
Interconnect Technology - Check all that apply
Custom Design PCMCIA VME 3U 6U 9U
ISA 8 / 16 Bit PC Bus PCI Bus SIMM/DIMM
High-Speed Backplanes PC-104 PCI Express
Other

Design Deliverables -- Check all that apply
Fabrication Package
Fabrication Drawing
Gerber and Drill Files
Assembly Drawing, Top (PDF or DXF)
Assembly Drawing, Bottom (PDF file)
Silk Screen
Test Point NC Data
NC Route Data
IPC-D-356 Export
Fabrication Drawing (PDF or DXF)
 		 BOM
Check Plots
Archive Set
Archive Set on FTP site
Valor extract files (ODB++)
Signal Integrity Report
Placement Data
Datasheet

Additional Project Details