Coating Services Request


	* Company:		Date Required:
	Address:		* Contact Firstname: * Contact Lastname:
	Address:		* Contact Firstname: * Contact Lastname:
	City:		Form Prepared By:
	State:		Existing Quote:
	Telephone Number:		If no, Cambridge NanoTech will contact you
	* Email:		Existing Quote #:
	Fax:		P.O. Number:
	Sample Description
	Description: Include: - top layer / stack - indicate which side is to be coated and/or facing upwards
	# of Samples:	Will your samples outgas under vacuum? (if yes explain in comments)
Please add special handling requirements in comments
	Thin Film
	Desired Film(s):		Thickness(es) (nm):
	Desired Precursors:		Desired Process Temperature (°C):
	Cambridge NanoTech will suggest answers for blank fields		Maximum Sample Temperature (°C):
	Application: (i.e. high-K, gate, humidity barrier, anti-corrosion, etc.)
	Requires preprocessing?		High aspect ratio?
	(i.e. ozone clean, bake step, etc.)		Microstructures, porosity, etc. requiring use of exposure mode? List approx. depth:opening
	Additional Comments / Handling Instructions

	Please do not use scotch tape or double sided tape while securing your samples for transport. We suggest Kapton tape if absolutely necessary.
	Ship On Customer's Account ?		If yes, provide account #
	Preferred Carrier		Preferred Shipping Method

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