QUOTATION WORKSHEET

This worksheet is optional. You may provide necessary specifications in
another format, otherwise return this sheet with any necessary data files
or drawings (e.g. schematics, netlists, datasheets, outline drawings etc.)

Send to:  TechServ
          2998 S. Bascom Ave. Ste 202
          San Jose, CA 95124

          Tel: 408-369-7950
          Fax: 408-516-9037
          Email: sales@techservinc.com


  
Company Name      :  
Contact           :  
Main Phone        :  
Fax               :
Work Phone        :  
E-Mail Address    :  
Purchasing Contact:
Phone             :  
Alternate Contact :
Phone             : 
Schematic Name    :
Schematic Dwg P/N :
Schematic Dwg Rev :
PCB Name          :
Fab Dwg P/N       :  
Fab Dwg Rev       :
Assy Dwg P/N      :  
Assy Dwg Rev      :


General description of work:

Nomenclature requirements (Company name, logos, copyrights,
P/Ns, etc.), also indicate layer and copper/silk:  

Pin Count (Optional if schematic or netlist supplied):

Total Design Lead Time, Note: indicate # of business days (5 business days/week):
Desired starting date:

PCB Technology             Digital(%)    :   
                           Analog (%)    : 
                           High Speed (%):  
                           MHz           :  

Type of Technology (indicate one)        :  Mother Board
                                         : Daughter Card
                                         : Back Panel/Plane
                                         : AT Add-On Full Size
                                         : AT Add-On Half Size
                                         : EISA
                                         : Other - please describe: 


Format of schematics:
Schematics are Complete and Correct      : Yes No
Is there a Net List from these schematics: Yes No

Will part libraries be supplied          : Yes No 
# of different symbols or geometries     :  
Are Data Sheets available for All parts  : Yes No

Will a Board Outline Drawing be included : Yes No
Will a Placement or Floorplanning Drawing: Yes No
Any critical placement issues            : 

Critical clock requirements
(list of net names is required)          :
% of nets                                :  
Description                              :  

T-Junctions allowed on Pins and Vias     :
T-Junctions allowed on Traces            :

Stubs allowed on entire board            :
Stubs allowed on Clocks                  :

Trace width/space on Outer Layers        :   / 
Trace width/space on Inner Layers        :   / 

Are fixed breakout patterns required     : Yes No
Bus routing                              : Yes No
Differential Pairs (Qty)                 :
Specific Length Differential Pairs       : Yes No
Mitred corners on Differential Pairs     : Yes No
Min/Max Wire Length requirements         : Yes No
Matched Wire Length requirements         : Yes No
Layer Impedance Matching                 : Yes No

Split Power Planes                       : Yes No
Forced Via's for Every Net (Testpoints)  : Yes No
Test Point Pad Size                      :
Test Point Center to Center Spacing      :
Via Size                                 :
Via Hole Size                            :
Blind/Buried Vias                        : Yes No
OK to Tent Vias (except on test vias)    : Yes No
Guard Shielding                          : Yes  No
Daisy Chaining                           : Yes  No
Cross Talk Requirements                  :
Net Ordering                             :

Board Thickness                          : 
# of Trace Layers                        :  
# of Planes                              :
# of Silk Screens                        :
# of Solder Masks                        :
# of Solder Pastes                       :

Standard Deliverables Include            : Fab Dwg.
                                         : Assy Dwg.
                                         : Drill and Gerber Data
                                         : Complete CAD Data Base
                                         : Fab & Assembly drawings in DXF or HPGL format
                                         : Pick & Place File
                                         : Was/Is File

Indicate Additional Deliverables
Required (May result in extra costs)     :Master Film
                                         :"Detailed" Fab & Assembly drawings
                                         :Test Data File
                                         :Net Length Reports
                                         :Color Mylar Final Check Plots