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Mask Request Submission Form

Instructions All customers need to fill out the PAYMENT AND DELIVERY INFORMATION section. Customers with Coral usernames need only fill out that box on the CUSTOMER INFORMATION section, all others need to fill out that entire section. Next complete the DESIGN INFORMATION and LAYER INFORMATION sections. Please make sure the design follows the NFC Mask Design Rules. If you have questions, send email to nfcmasks@umn.edu.
Customer Information
Should we look up your information from your Coral username or will you enter it below?
    (IE6 users - if entry area does not appear double-click selection)
Coral Username:
Payment and Delivery Information
    (IE6 users - if additional line does not appear double-click selection)


fax a copy to NFC at 612-625-5012

you will be contacted later by email to provide the card information

    (IE6 users - if shipping information does not appear double-click selection)
Shipping Information




Design Information (IE6 users - if you select 'other' an additional entry area should appear. If it does not, double-click selection)






Design Grid Coordinates


Options (IE6 users - if you select 'Yes' an additional entry area should appear. If it does not, double-click selection)


Layer Information For each mask, input the following information: Masks will be processed in the order they are entered below.

Mask 1 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 2 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 3 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 4 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 5 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 6 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 7 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 8 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 9 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
Mask 10 Layer:
Chrome Orientation:
Mask Polarity:
Label:
Smallest Feature Size (um):
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Version 2.0