FAX to MICROTECH s.r.l. -  +39 091 730 7911

date: ................................. From: .....................................................................................................................................

Company/Institution name and address: .................................................................................................................

..............................................................................................................................................................................................

phone ............................................. fax ............................................................................................................................

____________________________________________________________________________________

REQUEST FOR FURTHER INFORMATION ON THE LASERWRITER SYSTEM

APPLICATIONS (check all that apply):

[ ]  MICROLITHOGRAPHY FOR INTEGRATED OPTICS

[ ]   MICROLITHOGRAPHY FOR MICs AND THIN FILM HYBRIDS

[ ]   MICROLITHOGRAPHY FOR MICROELECTRONICS

[ ]   MICROLITHOGRAPHY FOR ........................................................................................................................

[ ]   TRIMMING OR SCRIBING

[ ]   MASK REPAIR

[ ]   LASER MARKING

[ ]   PHOTOINDUCED SURFACE PROCESSING

[ ]   SURFACE METROLOGY

[ ]   SURFACE DIAGNOSTICS AND MAPPING

[ ]   OTHER: ........................................................................................................................................................
   

PROCESS (refer to your main process or product):

MAIN PRODUCT .......................................................................................................................

SECONDARY PRODUCT ..........................................................................................................

REQUIRED LASER WAVELENGTH ....................................

ROUTINELY REQUIRED RESOLUTION .......................................

OCCASIONALLY REQUIRED RESOLUTION ...................................

SUBSTRATE SIZE RANGE FROM..........................TO.......................

SYSTEM ACCOMMODATION (office, laboratory, clean-roon)..................................................

PREFERRED CAD TOOLS..........................................................................................................

NOTES: .................................................................................................................................