Pix Electronix

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PCB Fabrication Quotation Form
Custom Circuit Boards PCB Fabrication

To receive quotation on your PCB requirement, please fill out
the following form and we will get back to you as soon as possible.

   Company Data

Name:
Email Address:
Company:
Country:
Telephone:
Fax:


   Board Data
Part Number:    Revision:   
   Quantity:     
Board Size (Length x width): x    Layer Count:     
If Other, please specify:
 Minimum Conductor Width:       Minimum Conductor Spacing:
Total Hole Count:     Smallest Hole Size:
 Material:      Board Thickness:
Finished Copper Thickness:
 Is surface mount tecnology (SMT) being utilised? Yes No
 If yes, what is the minimum SMT pitch?
Do you require V-scoring? Yes No
 Do you require Gold Fingers? Yes No
            If yes, how many fingers:
            Finger Length x finger width: x
   Bare board testing? Yes No
   What is your required turn around time?
             If other, please specify:
   Special Requirements or considerations?


e-mail: pix@pixelectronix.com

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