First Name:

Last Name:

Address:

City:

State:

Zipcode:

E-mail:

Phone Number: - -

Dimensions of PCB board: L X W (in inches)

Desired Board Quantity:

Total Number of Different Components:

Double Sided SMT: Yes No

Number of Mixed SMT and Through Hole Components Per Board:

Number of Standard SMT Components Per Board:

Number of Fine Pinch SMT Components Per Board:

Number of Through Hole Components Per Board:

Number of BGA Devices Per Board:

Delivery Time: days

(Normal time of delivery is 10 business days upon receipt of a COMPLETE kit with normal delivery times to follow)

Lead Free Processing: Yes No

Enter BOM file here:
(If your order requires more than one BOM file, attach all files to one zip file)

Special Instructions: