Request for Quote

    * Company:

    Phone:

    * Email:

    * Board Description:

    * Customer Part #:

    Point of Contact:

    BOM Available?

    YesNoPaper?Electronic?

    (Prefer electronic Excel file with manufacturer's part numbers)

    Type of Quote:

    Parts & LaborLabor OnlyDomesticInternational

    Select all that apply

    Gerber File Available?

    YesNo

    Quantities to be Quoted:

    Expected Lead Time:

    Quoting Process Information

    RoHS Compliant Quote:

    YesNoUnknown

    Testing Required?

    YesNo

    If yes, are testing instructions attached?

    YesNo

    Test Set Supplied?

    YesNo

    Programming Required?

    YesNo

    If yes, are programming instructions attached?

    YesNo

    Does customer have programming code/firmware?

    YesNo

    Conformal Coating Required?

    YesNo1 Side2 Sides

    Instructions/Drawings Included?

    YesNo

    Other Information?