Contact Information

First name:


Last name:


Email address:



Facility Information

Geographic region:


Company name:


Address line 1:


Address line 2:


City:


State / province:


Country:


Postal code:



Requesting Subscriber Information

Company:


Contact email address:


Is the subscriber paying the submission fee?    Yes       No


Panel Information

Process capability panel design:


Copper-to-copper panel thickness (mils):


IPC Plating Class:    2       3

Surface finish:


Was there more than one laminate material type used?    Yes*       No
           * Please provide details in the comments section below.


Primary Laminate Information

Manufacturer:


Designation:


Tg (C):


IPC-4101 slash sheet designation (select the highest):



Via Fill Information

Through Via:

   

    Manufacturer:
   

    Designation:
   


Blind Microvia:

   

    Manufacturer:
   

    Designation:
   


Buried Microvia:

   

    Manufacturer:
   

    Designation:
   


Buried Via:

   

    Manufacturer:
   

    Designation:
   


Soldermask Information

Manufacturer:


Designation:



Comments

Please provide any additional information regarding this submission.


Acknowledgments

By submitting this information and the panels you are confirming that the panels were manufactured in accordance with the requirements provided with the design package.      Confirm:  

Failure to provide panels not manufactured in accordance with the requirements provided with the design package may result in additional testing fees to the submitter.                     Confirm:  



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