Please provide the following contact information:

First Name
Last Name
Title
Organization
Address 1
Address 2
City
State/Province
Zip Code
Country
Work Phone
FAX
E-mail
Website

Please provide a written quotation for the following changes to our UL File#:

Our UL-File #

Add Laminate/prepeg manufacturer(s)/Type(s):

Mix and match laminate/prepeg manufacturer(s)/Type(s)

Add soldermask manufacturer(s)/Type(s)

Decrease conductor width to:

Decrease minimum edge conductor thickness to:

Decrease minimum conductor thickness to:

Increase maximum unpierced area to:

Change solder temperature to: (degrees and seconds required)

Change maximum operating temperature to: (degrees required)

Change our UL94 flame class to:

Other changes and/or additions: