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Signal Integrity Services
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Please fill out the information below. Fields marked with [*] are required. When you have
completed the form, click the Submit Request Form button at the bottom of the page.
If you prefer, you can open a PDF version of this
Request Form that you can print off, complete, and fax back to us at 717/697-8872.
If you have any questions about our SI Request Form or on Samtec’s SI capabilities,
you can contact our Signal Integrity
Group or call them directly at 800-726-8329 (+812-944-6733).
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Application Information
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PCB Area available for Connector
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inches X inches
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Pin Centerline Required
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inches
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Mated Height
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inches
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Number of mating cycles
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# of I/Os
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Single-Ended or Differential
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Signal-to-Ground Ratio
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System Impedance
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Ohms
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Signal Rise Time (Typical)
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Picoseconds
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Signal Rise Time Spec
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Bandwidth/Frequency (Typical)
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GHz
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Bandwidth/Frequency Spec
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Allowable Insertion Loss
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%
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NEXT
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%
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FEXT
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%
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Propagation Delay
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Picoseconds
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Skew
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Picoseconds
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Data Encoding
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(Examples = Binary, PAM- 2, PAM-4)
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Signal Technology
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(Examples = LVTTL, SSTL-2, Rambus, GTL+, LVDS, PECL, LVPECL, CML)
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Termination Type
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(Examples = One End Parallel, Both Ends Parallel, Series, Active, RC)
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Clocking/Data Recovery
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(Examples = Synchronous, Asynchronous, SourceSynchronous, CDR)
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Topology
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(Examples = Point-to-Point, Multi-Drop, Point-to-Many-Point,Star,T)
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Drivers
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(Examples = Single, Multiple Bi-Directions, Simultaneous Bi-Directional)
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Target Price
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US
Dollars
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Prototype Quantity
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Prototype Quantity Start Date
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mm/dd/yyyy
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Production EAU
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Production Start Date
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mm/dd/yyyy
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Description/Explanation of Application
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