Bill of Materials:

Schematic:

Board Dimensions:

First Name:

Last Name:

Are you a new client? Yes No

Title:

Organization:

Street Address 1:

Street Address 2:

Mail Stop:

City:

State /Province: Arizona

Zip / Postal Code:

Country:

Work Phone:

Fax:

Email:

URL / Website:

Purchase Order #:

Account Name:

Design Turnaround Time: 3 days 1 week 2 weeks 3 weeks 4 weeks

Board XY Dimensions:

Board Thickness:

Board Material:

Board Technology: (such as, blind/buried vias; 8/8, 6/6, 4/4; controlled impedance, etc.)

Quantity of assembled boards:

Who will supply components? MJS supplies all
Customer supplies all
MJS supplies passives only
Cust will email BOM

Turnaround Time: 24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Board Technologies: thru-hole; single-sided thru-hole; double-sided smt; single-sided smt; double-sided mixed-technology; single-sided mixed-technology; double-sided

Are there any solder or flux restrictions? If so, please explain.

Are there any Ball Grid Array packages on the board? If so, how many and what type (plastic, ceramic, micro, etc.)?

Quantity of boards to be edited:

Turnaround Time: 24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Please explain basic requirements:

Design Turnaround Time: 3 days 1 week 2 weeks 3 weeks 4 weeks

Board XY Dimensions:

Board Thickness:

Board Material:

Board Finish:

Board Technology: (such as, blind/buried vias; 8/8, 6/6, 4/4; controlled impedance, gold fingers, etc.)

# of Holes (smallest hole size):

# of SMT Pads (primary and secondary sides):

# of Vias:

# of Layers:

Quantity of fabricated printed circuit boards:

turnaround time for printed circuit board fabrication:
24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Will you be supplying any of the components? If so, please list the part numbers.

Are there any components that may NOT be substituted with alternate part numbers? If so, please list the part numbers.

Quantity of assembled boards:

turnaround time for assembly:
24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Board Technologies: thru-hole; single-sided thru-hole; double-sided smt; single-sided smt; double-sided mixed-technology; single-sided mixed-technology; double-sided

Are there any solder or flux restrictions? If so, please explain.

Are there any Ball Grid Array packages on the board? If so, how many and what type (plastic, ceramic, micro, etc.)?

Will there be testing requirements? Please provide some preliminary details (We will perform functional or in-circuit testing with your supplied test information and/or test fixture.)

Quantity of boards to be tested:

Quantity of boards to procure:

Who will supply components? MJS supplies all
Customer supplies all
MJS supplies passives only
Cust will email BOM

Are there any components that may NOT be substituted with alternate part numbers? If so, please list the part numbers.

Quantity of boards to be repaired:

Turnaround Time:
24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Select the Service Requested: Reball only
Remove only
Remove/replace only Remove/reball/replace Remove/reball/retest Remove/reball/replace/retest

Board XY Dimensions:

Board Thickness:

Board Material:

Board Finish:

Board Technology: (such as, blind/buried vias; 8/8, 6/6, 4/4; controlled impedance, gold fingers, etc.)

# of Holes (smallest hole size):

# of SMT Pads (primary and secondary sides):

# of Vias:

# of Layers:

Quantity of fabricated printed circuit boards:

Turnaround Time:
24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Quantity of boards to be x-rayed:

Turnaround Time:
24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Turnaround Time:
24 hours (one or two boards only)
48 hours (one or two boards only)
72 hours 5 days 10 days

Quantity of boards to be x-rayed: