Request for Quote



* Email:

*Board Description:

*Customer Part #:

Point of Contact:

BOM Available?

 Yes No Paper? Electronic?

Type of Quote

 Parts & Labor Labor Only Domestic International

Gerber File Available?

 Yes No

Quantities to be Quoted:

Expected Lead Time:

Quoting Process Information

RoHS Complaint Quote:

 Yes No Unknown

Testing Required?

 Yes No

If yes, are testing instructions attached?

 Yes No

Test Set Supplied?

 Yes No

Programming Required?

 Yes No

If yes, are programming instructions attached?

 Yes No

Does customer have programming code/firmware?

 Yes No

Conformal Coating Required?

 Yes No 1 Side 2 Sides

Instructions/Drawings Included?

 Yes No

Other Information?