Universal Test Equipment
*Required Fields
Contact Name*
Company Name*
E-mail Address*
State
Phone Number*  (xxx-xxx-xxxx)
Board Number
UUT Size
Fixture Type
Size of Interface
Fixture Design
# of 100 mil probes # of 75 mil probes
# of 50 mil probes # of extra holes drilled
# of twisted pair wires # of single-strand wires
# of power/ground busses # of power/ground injection points

Nail Map Report Mold Gasket  
ESD Coating Sensor Test - How many?
Protective Cover Top Side Probing - How many?
Counter Overclamps  
Silkscreen Double-Action  

Special Instructions
    
Universal Test Equipment, Inc.
www.uteinc.com
1625 Quail Run Road / Charlottesville, VA 22911 | (434) 973-4545