Company Name:

Contact Person:

Phone: Fax:

PO # :

Part Number: Rev:

Frame side : 8" x 10" 10" x 10" 12" x 12" 12" x 17" 15" x 15" 15" x 20" 20" x 20" 23" x 23"With/hole 23" x 23"No/hole 24" x 24" 29" x 29" 29" x 29"Space saver 550 x 650 Panasonic Fuji

Front side THK: .002" .003" .004" .005" .006" .007" .008" .010" .012" Paste: Epoxy:

Back side THK: .002" .003" .004" .005" .006" .007" .008" .010" .012" Paste: Epoxy:

Step & Repeat: X-Interval: Y-Interval:

Email address:

This order is for a:: Top Stencil Bottom Stencil Top and Bottom on one stencil

 Image Location:: Centered Offset

Locate Identifying Text on: Contact Side Squeegee Side

Fidutials: Yes No   Place on: Contact Side Squeegee Side

Special Instruction