Engineering Request

Please complete the engineering form most associated with your application need. Include as many details or comments that best describe your application and return along with a copy of your adhesive technical data sheet or material manufacturer contact information and product number.

After a review of your information, we will contact you to further discuss your project as well as cover options and our recommendations.

Equipment Engineering Request Form: Typical project form for applications involving multi component adhesives and sealants for potting, encapsulating, protective coating, foaming, and casting / molding.

Roll Coating Application Form: Project specification and details for laminating and roll coating application which use hot melt adhesive.

Coating Engineering Request Form:  Detailed project application sheet for single component liquid spray on coatings and associated support systems.

Fields denoted with a "*" are required.

Contact Information

First Name:*

Last Name:*

Company:*

Title:

Email:*

Phone:*

Ext:

Fax:

Address 1:*

Address 2:

City:

State (USA and Canada):

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Zip Code:

Country:

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Need Proposal By:

Description of Materials and Process

 Type of material:

Epoxy

Silicone

Polyurethane

Polyester

Other:

Material Manufacturer

Name & Number

 Original Container Size:

Catalyst:

Resin:

 Ratio:

by weight

by volume

accuracy

 Filler:

part A

part B

type

Does Filler Settle?

Is Filler Abrasive?

Air Content

Is degasification required?

Resin Viscosity

CPS                   @ temp

Catalyst Viscosity:

CPS                   @ temp

 Specific Gravity:

Catalyst

Resin

Is either material moisture sensitive?

Is either material corrosive?

Pot-Life

Mass

Temp

Machine Requirements

Application
(please describe)

Shot Dispensing

Shot Size

Shot Rate

Continuous Pour:

GPH

Size of Reservoir Required:

Catalyst

Qts./Gals.               Resin

Qts./Gals.

Is heat required?

Temp

Additional Comments or Special Requirements

 

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