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Please complete this form and a Nashua Circuits Representative will contact you. Quotes are normally returned in an hour.
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Name:  *
Company:  *
Position: 
Address:  *
City:  *
State:  *
Zip:  *
Country: 
E-mail:  *
Phone:  *
Fax: 
Delivery Requirements
1st Delivery: 
Pieces: 
Days: 
2nd Delivery: 
Pieces: 
Days: 
3rd Delivery: 
Pieces: 
Days: 
Part Information
Part Number: 
Revision: 
Quantity: 
Are Gerber Files Available
 Yes     No
Format: 
Board Size: 
Number of Layers: 
Material Thickness: 
Material Tolerance: 
Material Type: 
Finish Copper
Inner Layers: 
(OZ)
Finish Copper
Outer Layers: 
(OZ)
Minimum
Line Width: 
(Mil)
Minimum
Line Spacing: 
(Mil)
Smallest Hole:  (Mil)
Total
Hole Count: 
Solder Mask
Material: 
 LPI Yes     LPI No
Silk Screen: 
 Top    Bottom
Electrical Test:   Yes    No
SMT Pads: 
 Top    Bottom
Component
Hole Count: 
Gold:   Yes    No
Type of Gold: 
Controlled Impedance:   Yes    No
Comments: 
 
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Nashua Circuits, Inc.  •  29 Crown Street, Nashua, NH 03060  •  Phone (603) 882-1773  •  Fax (603) 883-8765  •  E-mail: sales@ncipcb.com
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