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Advanced Package Rework

APR Qualification Registration Form

For printable version, please download here

Step 1: Representative Information

* Name:
* Firm:
* Telephone:
* Email:

Step 2: Distributor Information (if involved)

Is an End User Approved, Distributor involved?

Step 3: Customer Information

*Company:
*Contact:
*Address:
*City:
*State:
*Zip:
*Country:
*Telephone:
Fax:
*E-mail:

Step 4: Opportunity Information

*Part No.:
*Quantity:

Board Size:

x

Board Material:




*Component Type






Upload Image or PDF of the Component (file upload must be 5MB or less):


*Pitch Sizes:
*Solder Alloy:


*Flux Type:


*Existing Equipment:
*Expected Purchase Date:
*Expected Delivery Date:
*Approved Distributor:
*Purchase Window:



Step 5: Competitor Information

Competitor Name:
Competitor Part No.:
Competitor Price:
Competitor Website:

Step 6: Notes

Notes:

Step 7: Submit