Contact Information
Assembly#
Title
*
Name
Assy Rev#
*
Phone
*
Company
Fax
BOM#
*
Address
Select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
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New Hampshire
New Jersey
New Mexico
New York
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West
Wisconsin
Wyoming
BOM Rev#
*
Zip
*
State
*
City
Bare Board
*
Email
Part#
Bare Board
Revision#
*
(1 or more required)
Level II
Level III
ICT
Flying Probe
Functional
ESS
Burn In
None Required
Other (Describe in Notes
Test
Yes
No
*
AVL Supplied
*
Date Quote Required
Lead
Time
(Days)
Cross Referencing
Any Equivalent
Case by Case
None
Quantiy
of
Bare Boards
Quantity
of
Assemblies
Allowed
A
Customer Supplied
Turnkey
Both
Contact Method
Preffered
Materials:
B
Email
Fax
C
Requirements
PART Number & Contact Method
D
E
Quantities & Lead Time
Attach Gerber, Assembly, & BOM Files
(If files exceed 4meg, please call for ftp download)
Attachment
Attachment
Attachment
Notes (Coating , cables, hardware, box build, etc.)