AJ Adhesives Mid-America Packaging
Mid-America Packaging
adhesives

Fill out our online Application Engineering Form or use the printable forms below.
Application Engineering Form 
Account Email:
Machinery / Application Method
Machinery Manufacturer Model Number
Application Method
Spray Extrusion Wheel  Other
Application (i.e. case seal, carton seal, jar labeling, etc.)
Current Operating Speed Desired Operating Speed
units/minute units/minute
Compression Cycle Seconds Minutes
Compression Pressure Heavy Moderate Light
Type of Adhesive 
Now Being Used
Pot Temp. 
(if hot melt)
ºF
Current Adhesive Supplier Product Name / Number
Substrate(s)

Bonded 
To

Are Either of the
Substrates Coated?
Type of Coating
Yes   No
Other pertinent characteristics of the substrates
End Use Requirement (indicate continuous or intermittent)
Temperature Extremes Bond Strength Needed
High ºF   Low ºF
Resistance to 
Water Oil 
Sunlight  Other 
Other Standards (specific test and limits) 
Cost
Current Price $ per pound gallon  Other
drum  pail
Container Size Units Bonded per Container
Monthly Volume Purchase Frequency
Adhesive manufacturing 
location
Shipping Charges / 
FOB points
Plant Conditions 
Ambient Temperature Humidity
ºF, Summer ºF, Winter High Low
General Conditions Other relevant factors
Clean Dusty 
Wet Dry
DISTRIBUTOR SALESMAN

 


 

 

  Application Engineering Form
Download as a Microsoft Word Doc
Download as a Adobe PDF file
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