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info: marked fields with "*" are mandatory

Your e-mail:* 
Project leader / Your name:* 
Your company name / customer:* 
Your phone / mobile: 
Product Name / Product Type 
Target date for offer: 
Delivery Terms: 
  Industrial Production  
Necessary certificates: 
  ISO 9001  
  ISO/TS 16949  
  ISO/IEC 80079-34  
  OHSAS 18001  
ROHS:   Yes    No  
Quantity per Year:* 
Life Cycle: 
Total Volume: 
Batch Size: 
Start of Production: 
Target Price: 
PCB´s Supply:*   CRT Electronic    Customer  
Components Supply:*   CRT Electronic    Customer  
BOM in Excel:   Yes    No  
Assembly Plan:   Yes    No  
Wiring Diagram:   Yes    No  
Test Specification:   Yes    No  
Special Operations:   Varnishing    Potting  
Other Operations: 
Every processing and control has to comply to IPC-A-610 Class II./ III.:   Class II (CRT standard)    Class III  
Sample Supply:   Yes    No  
Requirement for documentation for sample production:   Yes    No  
Sample production 1,2,3 or more:   PPAP    VDA2    Other  
Sampling of specific material:   Yes    No  
Sampling of catalog material parts:   Yes    No