FPC/PCB REQUEST FOR QUOTATION INFORMATION
          Date Submitted:  
CUSTOMER INFO:         Date Required:  
COMPANY NAME:       RFQ NO:  
APPLICATION:  
PART NUMBER:    
REV:
QUANTITY:    
PROTOTYPE- SOFT TOOLING REQUIRED
PART SIZE:            

  RIGID PCB (FR4 MATERIAL) FLEXIBLE PRINTED CIRCUIT (POLYIMIDE MATERIAL)
BASE THICKNESS:   1.6MM THICKNESS 0.5 MIL POLYIMIDE
    2.0MM THICKNESS 1 MIL POLYIMIDE
    OTHER OTHER
NO. OF LAYERS:   SINGLE-SIDE SINGLE-SIDE
  DOUBLE-SIDED DOUBLE-SIDED
  MULTIPLE LAYERS (#'s) MULTIPLE LAYERS (#'s)
COVERLAY:   SOLDER MASK SOLDER MASK (1-SIDE)
SOLDER MASK (2-SIDED)
  OTHER 1 MIL POLYIMIDE (1-SIDE)
1 MIL POLYIMIDE (2-SIDED)
    OTHER
ESD SHIELDING:   YES, BY COPPER GRID / SOLID
      OTHER
STIFFENER(S):   YES, BY POLYESTER
      POLYIMIDE
      FR4
      OTHER
STATE SIZES AND THICKNESS

COMMON CHARACTERISTICS:
COPPER (CU) OPTIONS:
- TYPES: RA COPPER ED COPPER  
- THICKNESS: 1/2 OUNCE CU 1 OUNCE CU (STANDARD) THICKNESS OPTION (OUNCE)
PLATING: TIN GOLD THICKNESS OPTION
DRILL HOLES: ROUND SQUARE STATE SIZE(S)
REAR ADHESIVE: 3M467 3M468 OTHER (STATE P/N)

DRAW STACKUP/CONSTRUCTION:

LIST COMPONENTS (MUST PROVIDE BILL OF MATERIALS):

ARTWORK / TESTING INFO:
GERBER / ARTWORK PRODUCED BY: CUSTOMER PRINTEC
100% OPEN / SHORT TESTING: YES  
COMPONENTS TESTING FIXTURE BUILT BY: CUSTOMER PRINTEC

OTHER FEATURES - SELECT APPLICABLE OPTIONS (REFER TO RFQ - MEMBRANE SWITCH FORM):
  OVERLAY DOME ARRAY BACKPLATE / SUPPORT PLATE
  OTHER  

SPECIAL ASSEMBLIES OR REQUIREMENTS:
SIGNATURE: