ADAPTIVE CIRCUITS
FORM 03-01-01 REV.B
1565-A MABURY ROAD
JOB NUMBER
SAN JOSE, CA. 95133
PHONE:(408)-923-6200 FAX:(408)923-3711
QUOTATION
REPEAT ORDER
REPEAT W/CHANGE
OBSOLETE OLD REV.
CONFIRMING
P/O#:
OLD JOB#:
CUSTOMER
*
PHONE#
*
FAX#
*
BUYER
*
ENGINEER
REP BY
PART#
*
REV.#
*
DATE QUOTED
DATE BOOKED
DATE RELEASED
OLD P/O#:
TIME REQUIRED
*
DUE DATE
QUANTITY
*
UNIT PRICE
TOOLING CHG
LOT CHARGE
PLOTS
TEST YES/NO
*
TESTED
POINTS
COMPARISON
CLAMSHELL
FLYING GRID/PROBE
GERBER DATA FILE
DISK/CD
E-MAIL
OTHER
FILE NAME
BOMBSIGHT / HAND LAY-UP
PHOTO PLOT 1UP
YES
NO
CUST.APPROVAL
YES
NO
APPROVAL METHOD
NEW CUSTOMER
CREDIT REF.
CUSTOMER SPEC.
OTHERWISE BUILD TO IPC(LATEST REV.)
PCB
SIZE
X
*
LAYERS
SINGLE
DOUBLE
MULTILAYER
*
LAYER COUNT :
4
6
8
10
12
14
16
18
20
22
24
OTHER
*
MATERIAL
FR4
POLYIMIDE
TEFLON
DUROID
HIGH TEMP EPOXY
OTHER
*
THICKNESS:
.020
.031
.047
.062
.093
.125
*
SPECIAL
+/-
COPPER:
H/H
0/0
1/0
1/1
2/2
OTHER
*
IMPEDANCE CONTROL
+/-
SPECIAL DIELECTRIC
HOLES
#VIAS:
#:
*
#SIZES:
SMALL HOLE SIZE:
*
TRACE:
*
SPACING:
*
PLATING:
SMOBC
SMO-TIN-NICKEL
TIN-NICKEL
TIN-LEAD
*
GOLD
YES
NO
*
THICKNESS: (mi)
10
30
50
70
*
LENGTH:
FULL BODY:
SELECTIVE:
SOLDER MASK
TYPE:
LPI
SR1000
OTHER
*
#SIDES:
*
COLOR:
*
LEGEND
YES
NO
*
#SIDES:
COLOR:
SMD
YES
NO
*
PITCH:
*
COMPONENT SIDE QUANTITY:
*
SOLDER SIDE QUANTITY:
*
TAX:
YES
NO
*
ARRAY SIZE
X
#UP:
PASTE:
GERBER:
FILM:
SCORE:
YES
NO
*
CROSS SECTION:
YES
NO
*
S/SAMPLE:
YES
NO
*
TEST CERTS:
YES
NO
*
GOLD CERTS:
YES
NO
*
CERT. OF CONFORMANCE
YES
NO
*
SHIPPING/COMMENTS:
ADAPTIVE'S LIABILITY IS LIMITED TO THE COST OF THE PRINTED CIRCUIT BOARDS ONLY!
ADAPTIVE USE ONLY
QUOTED BY:
DATE:
REVIEWED BY:
DATE:
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*
Required
PLEASE PRESS SUBMIT BUTTON ONLY ONCE.