CircuitHub Production Quote Request
This form is for requesting a production quote from CircuitHub.
Full Name
Company Name
Email Address
Telephone
Project Name *
(Name of project uploaded on our platform. You can also share the URL for your project.)
Estimated Total Quantity *
Estimated Shipping Schedule *
(Example: 100 units per week for 4 months, 400 units per month for 9 months, 1200 units per quarter for 1 year)
Firmware programming requirements?
Clear selection
What component(s) need to be programmed?
Specify as "Distributor/PartNumber", and separate parts with a comma (,)
Pre-buy parts requirements?
If you need any parts that are on long lead times, please specify as "Distributor/PartNumber", and separate with a comma (,)
Inventory consignment requirements?
If you would like to send us parts, please specify the parts as "Distributor/PartNumber", and separate with a comma (,)
Functional testing requirements?
Clear selection
Conformal coating requirements?
Clear selection
Do you have any other custom assembly instructions or requirements?
Example: Glue/adhesives, shields, wires, box build, retail packaging, etc.
When do you want to start this build? *
MM
/
DD
/
YYYY
Submit
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This form was created inside of CircuitHub Inc.