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
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