SMT Quote Form

1
Contact Information
First Name
Last Name
Please enter your email
Please enter your phone
Company
2
Volumes & Technical Specifications
Please Select
Please Select
Surface mount (SMT)
Through-hole
Combination of both
Do you require surface mount (SMT) assembly, through-hole assembly, or a combination of both?
What quantity breakdowns are you looking for in a quote? (ex. 50, 250, 1,000, 2,500, 5,000 etc.)
Please Select
Please Select
Yes
No
Do you anticipate any volume fluctuations in production?
Any specific materials or components that need to be used? (ex. ?)
Please Select
Please Select
Yes
No
Unsure
Is RoHS certification required?
Please Select
Please Select
Yes
No
Unsure
Traceability required?
3
Technical Specifications File UploadPlease upload any design files that will help us better assess your needs (ex. Gerber files, masking files, drill data, etc.)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
4
Quality Standards* This field is required.
Please list any specific quality standards or certifications that the product needs to meet.
Do you have any specific requirements regarding quality control and testing?
5
Additional ServicesDo you require any additional services at this time? Check all that apply.
Design Assistance Required
Final Assembly Test Required
Ship to Other Cirtec Facility for Final Assembly
Ship to Customer Facility
6
Additional CommentsPlease provide any additional details that will help us provide an accurate quote
Huge
Large
Normal
Small
Ok
Ok
7
UTM Parameter
Should be Empty: