Customer Quote Form
Name:
Company:
Phone:
Fax:
E-Mail:
Address:
City:
State/County
Postcode/Zip:
Info 1:
Info 2:
Service Selection:
Please Select One ---->
IC development
IP development
Formal verification
ATPG
Code coverage
IP quote
Select Preferred Service Provision Method:
Windows XP VPN
Juniper Networks VPN
On-site (Jaskay office commute distance only)
FTP data transfer
CD-ROM data transfer
N/A
Select Preferred Software Tool Licensing Method:
Wish Jaskay to Quote
Will use our own
Will transfer to Jaskay
N/A
Please enter known scope of work:
Optional Description or Comments Field:
