Company Name: Your Name: Your Job Title: Email: Telephone: Fax: Project Name or Number: Board Quantities: Consignment or Turnkey: —Please choose an option—ConsignmentTurnkey Lead Time: —Please choose an option—1 Month2 Months3+ Months Technology: —Please choose an option—SMTThrough HoleSMT & Through HoleBox BuildCableOther Target Price: Quote due date (YYYY-MM-DD): Attachement(s): Your Comments: Δ