Name
Title
Responsibility (in
relation to product)
Company
Address
Phone
Fax
Email
PWB P/N
PWB Rev.
Quantity Needed
Delivery in Days required
Board dimensions (overall X and
Y)
Board thickness
Number of layers
0 1 2
4 6 8
10 12 14
16 18 20
22
Board material
Copper weight
1/2 oz. 1 oz.
1-1/2 oz. 2 oz.
3 oz.
4 oz.
Total number of holes
Number of different hole
sizes
Smallest hole size
Smallest annular ring (pad
diameter - hole diameter / 2)
Smallest trace width
Smallest trace spacing
Gold Fingers? Yes No
If yes, specify in linear inches
Special Finish type
HASL
Immersion Gold
Immersion Silver
Immersion Tin
Lead-Free Tin
Hard Gold N/A
Micro inches of finish/nickel
5/150
10/150 30/100
30/150 30/200
40/100 40/150
40/200 50/100
50/150 50/200 N/A
Surface Finish
Via Plug Yes
No
Soldermask Yes
No
Soldermask color
Green Black
Blue Clear Red
Yellow
Number silkscreens 0
1 2
Silkscreen color
White Yellow
Surface mount? Yes
No
Surface mount on both sides? Yes
No
Number of SMT pads: component
side
Number of SMT pads: solder
side
Smallest SMT pitch: component
side .010
.012 .019 .020
.025 .037 .050
> .050 N/A
Smallest SMT pitch: solder
side .010
.012 .019 .020
.025 .037 .050
> .050 N/A
Thru-hole pads
Electrical test? Yes No
Tested to Gerber Data Netlist Golden Board
Controlled Impedance
Blind or Buried Vias? (If yes,
please submit a fabrication drawing or Gerber data to
sales@trc-circuits.com )
Yes No
Conductive Via Fill
Special routing
requirements (slots, internal cutouts, scoring, tabs,
etc.)
Special
Requirements
REQUIRED DATA
Gerber data with aperture list (preferably 274X type)
NC-Drill data (Excellon)
CAD ASCII database file
Fabrication drawing with overall and tooling hole dimensions
Hole/symbol chart, layer stack-up and special notes
THE SUBMIT BUTTON DOES NOT WORK! PLEASE CUT AND PASTE THIS INTO AN EMAIL AND SEND IT TO SALES@TRC-CIRCUITS.COM
