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Contact Information  
   
Name:
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Board Information  
   
Board name:
Board part number:
Board quantity required:
Total number of components per board:
Number of SMT components per board:
Number of through-hole components per board:
Number of connectors per board:
Number of BGA's per board:
The board has SMT components on: top bottom both
The board has through-hole components on: top bottom both
Board dimensions:     x in
 cm
Is the board panelized? yes no
The board has fiducials? yes no
Is there any hardware that needs to be installed such as heat sinks, brackets, nuts & washers, etc.? yes no
If yes, provide details:
Do you require us to purchase the components? yes no
Describe any additional services required, such as final assembly in enclosure and testing:
Any additional comments?