Purpose: Quote is for:

Board is to be :

If Panelized we prefer: # of boards per panel desired:

We need NRL to create panelization:

Qty1:delivery time 1: working days quotation

Qty2:delivery time 2: working days

Qty3:delivery time 3: working days

Type of PCB desired: If SMT Min Pitch: Number of SMT sides:

Board Length: Board Width: individual board size

Number of Layers: Number of Drill sizes: Number of Holes:

Smallest Hole Size: Largest Hole size:

Min Trace Width: Min Space Width:

Slots or Cutouts? : If yes please describe in comments area.

Material Preferred : FR-4 standard

If other specify :

Finished Thickness : If other specify :

Finished Copper Weight External Layers: Internal Layers:

Classification : If other

Finish Type : SMOBC Standard

If other specify :

Sodermask Type :

Soldermask Color :

Gold Weight: Gold Finger Sets:

Gold Finger Sides: Gold Finger Edges:

Blind or Burried Vias:

Silkscreen : Color :

Electrical Test :

Certificate of Compliance required:

Additional Comments:

Company Name

Address

City

State & Zip

Contact Name

Job Name/Number

E-Mail Address

Please have NRL reply by

If by phone or fax enter number

Major purchasing factor is:

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NATIONAL RESEARCH LABS, INC.
650 HAINES AVE. NW
ALBUQUERQUE, NM 87102