Order Tracking Form

To send circuit board(s) to us for contract work follow these steps. To request a quote, please visit out Quote Request form.

1. Clearly identify the location(s) on your circuit board(s) that require repair or rework. Use inspection arrows or include detailed printed instructions. Note: You may attach your written instruction using the form below.
2. Complete the form below. 
3. Properly package your circuit board(s) and ship them to:
   Circuit Technology Center, Inc.
   135 Ward Hill Avenue, Haverhill, MA 01835 USA
   Please be sure to:
    - Print your Purchase Order Number or Requisition Order Number clearly on the package.
   - Complete the Order Tracking Form using the form below and include it in your shipment.
4. After we receive and evaluate your circuit board(s) we will email a price and delivery quote to the Contact person listed on the form below. We will await your authorization prior to completing any work.
5. Upon completion, your circuit board(s) will be inspected, packaged, and safely shipped back to you.

For additional information call us at 978-374-5000. Our normal business hours are Monday - Friday 8:00 AM to 4:00 PM Eastern Standard Time. Please review our Prices, Terms, and Delivery Information for additional information.

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Fields in bold are required.

Product Classification* - Additional costs may apply if you request IPC-A-610 Class 3 work. More

Delivery Request** - Premium charges may apply for delivery requests less than 3 weeks. More

Order Number:
Order Type:	Purchase Order Requisition Order
Attach Your Order (Optional):
Person Completing this Form.
Your Name:
Your Email:
Your Phone Number:
Confirm Price and Delivery to: (Leave Blank if same as person completing this form.)
Name:
Email:
Phone Number:
Company Information
Company Name:
City:
State:
Description of Work Requested
Product Being Sent:	Assembled Circuit Boards Bare Circuit Boards Other (Explain in Details Box)
Quantity:
Product Classification *:	IPC-A-610 Class 2 IPC-A-610 Class 3
Delivery Request **:	3 Weeks 2 Weeks 1 Week 2-3 Days 1 Day
Details:
Attach Instructions or an Image:
Attach Instructions or an Image:
Attach Instructions or an Image:
Attach Instructions or an Image:
Please Note: File size of attachments can not exceed 1 meg. Review all information before you hit the submit button. When you hit the submit button you will be taken to a separate screen to print out a copy of the details you submitted.
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