submitorder.jpg - 16646 Bytes


Roca Printed Circuits
12830 Century Drive -
Stafford, Texas 77477
PH: 281-240-8140 FAX: 281-240-0557
Email: sales@rocaprintedcircuits.com

Order Entry

Company Name*

Purchase Order Number*

Company Shipping Address*

City*

State, Zip*
,

Company Billing Address(if different from shipping address)
 

City*

State, Zip*
,

Contact Phone*

FAX Number

Contact Name

  Email

Order Information

Number of Boards

Description or Part or P/N

Number of Layers

Required Delivery in Business Days

Price (shown inside matrix box)

 

Extra Costs - Color Soldermask

Amount Added $

Extra Costs - Electrical Test
 

Amount Added $

Deduct for using Tin/Lead Reflow

Amount Deducted$

Deduct for no Soldermask

Amount Deducted $

 

SUBTOTAL $

Billing - Shipping - Credit Card Information

Credit Card Type:

Credit Card Number

Expires

Credit Card Holder Name

Current Net 30 day Client

Shipper

Service Required

Shipping Instructions

 

 


 

NEED HELP? CALL 281-240-8140

 


Home ~ Why Use RC ~ Capabilities ~ Pricing ~ Quotes
Layout ~ Submit an Order ~ Credit Application ~ Contact Information


Copyright 2004 ~ All Rights Reserved
Roca Printed Circuits, 12830 Century Dr., Stafford TX 77477
Go Click It Enterprises, LLC ~ Englewood, CO 80110