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Name
Title
Responsibility (in relation to product)
Company
Address
Phone
Fax
Email
PWB P/N
PWB Rev.
Quantity
Delivery (2-15 business days)
Quality standard required
Board dimensions (overall X and Y)
Board thickness
Number of layers
Board material
Copper weight
Total number of holes
Number of different hole sizes
Smallest hole size
Smallest annular ring (pad diameter - hole diameter / 2)
Smallest trace width
Smallest trace spacing
Gold Fingers?	Yes No
If yes, specify in linear inches
Gold type
Micro inches of gold/nickel
Surface Finish
Via Plug	Yes No
Soldermask	Yes No
Soldermask color
Soldermask finish
Number silkscreens
Silkscreen color
Surface mount?	Yes No
Surface mount on both sides?	Yes No
Number of SMT pads: component side
Number of SMT pads: solder side
Smallest SMT pitch: component side
Smallest SMT pitch: solder side
Thru-hole pads
Electrical test?	Yes No
If yes, what type?
Tested to
Controlled Impedance
Blind or Buried Vias? (If yes, please submit a fabrication drawing or gerber data to sales@murrietta.com)	Yes No
Conductive Via Fill
IPC 6012 Classification
Special routing requirements (slots, internal cutouts, scoring, tabs, etc.)
Special Requirements

Required Data