Company
Contact Name
Address
City State
Zip Code
Phone Ext.
Email
PLEASE FILL IN THE FOLLOWING INFORMATION:
1. What are the parts to be bonded?
  to
  to
2. What is the size of the bonding area?
 
3. Do the parts mate flush or is there a gap?
 
4. How fast do you want the parts to be fixtured? Describe in seconds, minutes, hours
 
5. How fast do ou need the material to achieve full cure? In seconds, minutes, hours
 
6. What must the finished assemble withstand?
  Temperature-High Low
  Contact with water? YES     NO
  Contact with any chemicals? YES     NO
 
  Please list what types of chemicals
  Vibration / Impact: YES     NO
7. Please indicate any other requirements or considersations for this application:
 
8. Please indicate the volume on this application:
    (Use ounces, pounds, gallons, etc./the number and size of the containers.)
  Annually Monthly

 

    

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