PCB Fabrication Intake Form
Provide your board specifications, fabrication requirements, and project details so the PCB can be quoted and manufactured correctly.
Contact and Project Details
Requester Name
*
Company / Organization
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Project Name / Reference
*
Target Completion Date / Requested Turnaround Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
PCB Board Specifications
Board Type
*
Single-layer
Double-layer
Multi-layer
Rigid
Flexible
Rigid-flex
Quantity
*
Board Dimensions / Size
*
Board Shape
Please Select
Rectangular
Square
Round
Irregular
Other
Special Mechanical Requirements
Layer Stackup and Material Requirements
Number of Layers
*
Substrate / Material Preference
Please Select
FR-4
High-Tg FR-4
Rogers
Polyimide
Aluminum Core
Other
Thickness Requirement
Copper Weight
Stackup Notes / Impedance-Controlled Requirements
Drill, Trace, and Finish Requirements
Minimum trace/space
*
Minimum drill hole size
*
Via type requirements
Through-hole
Blind
Buried
Microvia
Surface finish
Please Select
HASL
Lead-free HASL
ENIG
Immersion silver
Immersion tin
OSP
Other
Solder mask color
Please Select
Green
Black
Blue
Red
White
Yellow
Other
Silkscreen color
Please Select
White
Black
None
Other
Controlled impedance requirements
Special fabrication tolerances
Assembly and File Submission
Assembly needed
*
PCB only
PCB assembly
Unsure
Assembly notes or parts placement instructions
Upload design files
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional fabrication notes
Revision / version identifier
Submit
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