Printed Circuit Board Design, Manufacturing / Assembly, Maryland!

For instant quotation, please complete as much of the form as possible. Complete information will speed up the quotation process and ensure accurate pricing. If you need any assistance, please call our sales department. Capital Electro-Circuits reserves the option to adjust the price on a job if the information on this form does not accurately reflect the actual requirements. (Defaults are Checked).
All orders are accepted as per Terms and Conditions liisted at: CEC Terms

Company Name:

Phone Number:

Fax Number:

Date:

Contact:

Extension:

Address :

City:

State / Province and Zip / Postal Code:

Email Address * :

Part Number / Name:

Revision:

You may enter up to (3) different quantity and delivery options.
Quantity:

(1):

(2):

(3):

Delivery Required (weeks / days):

(1):

(2):

(3):

Job Status .....

New Job:

Reorder:

Board Type .....

SS:

DS:

ML:

Number of Layers:

Board Dimension.......

Material Type .....

FR4:

Other:

Material Thickness:

Copper Weight in oz.

0.5:

Other:

Certification

U.L. Logo Required:

Certificate of Compliance:

Circuitry

Minimum Line Width:

mils.

Minimum Spacing:

mils.

Holes

Smallest Hole Size:

mils.

Vias

Blind Vias Sets Quantity:

Buried Vias Set Quantity:

Are the Boards Panelized

Yes:

No:

Routed Panel Size

Solder Mask

None:

1 Side:

2 Sides:

Color

Green:

Other:

Silkscreen (Legend)

None:

1 Side:

2 Sides:

Color

White:

Other:

Final Plating

Tin/Lead:

Solder Levelling(SMOBC):

Bare Copper:

Gold:

Gold Tabs

Yes:

No:

Number of Edges:

Electrical Test

Yes:

No:

Surface Mount Pads

Yes:

No:

Number of Pads

Side-1:

Side-2:

Minimum Spacing (pitch):

Assembly

Do you want us to provide Assembly Quotation ?

Labor and Parts :

Labor Only :

No :

You will provide

Gerber Files:

Drill Files:

DXF Files:

DWG Files:

Note: We prefer Gerber Files with Aperture List and Drill File.

Please note any special requirements in the text area provided below:

We thank you for the opportunity to provide a quotation for you. You will receive a reply shortly. If you are having problems with this form, please contact: Capital Electro-Circuits, Inc. 301-977-0303