| Preferred method of response Email Phone |
| Product |
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| Quantity |
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Delivery |
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| Enter part number (if known) |
| Device type |
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Package size (mm) |
X X |
| Lead count |
|
Lead pitch |
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Additional Comments
|
| Attach file here |
|
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| Upon form submission your file will be sent to us as an email attachment. If your file is very large, you will need to wait until the transfer process is complete. If you experience problems, please send your file to techconnectsales@gmail.com. |
| Your Contact Information |
| Name* |
|
Title |
|
| Company* |
|
|
|
| Address 1* |
|
Address 2 |
|
| City* |
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State* |
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| Zip* |
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|
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| Phone |
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Fax |
|
| E-mail* |
|
|
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| * Required information |
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