Defect and Thin Film Characterization Laboratory Services Request

* Please specify the purpose of this submission
Submit an Order (a valid PO has been issued)
Request for Quotation

* PO #:		* Address 1:
* Company Name:		Address 2:
* First Name:		Mailstop:
* Last Name :		* City/Town:
* Department:		* State/Province:
* Email:		* Postal Code:
* Phone: xxx-xxx-xxxx		* Country:
Ext.
Fax: xxx-xxx-xxxx

Description of Work Required

* Purpose of Work: Please call for a quotation
* Similar to previous work:	Yes No
	* If yes, please provide the DTCL Req#:
Required Turnaround:	Standard Long Term Project Urgent (48 hours, 50% surcharge) Super-urgent (24 hours, 100% surcharge) Next in queue (200% surcharge)

	Technique	Quantity	Unit Price	Est. Price
1.		x	$ =	$
2.		x	$ =	$
3.		x	$ =	$
4.		x	$ =	$
5.		x	$ =	$
6.		x	$ =	$
7.		x	$ =	$
8.		x	$ =	$
9.		x	$ =	$
10.		x	$ =	$
	Rapid Turnaround Surcharge =			$
	Total =			$

Special Instructions or Requirements:
* Return Samples:	Yes No
	If yes, return sample immediately after analysis return after storage period
Results Needed By:	calendar

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