Download and print the application for fax and mail.

General Information

Name:		Title/Function:
Company:		End User	OEM
Address:
City:		State:	Postal Code:
Phone:		Fax:
Email:

Machine Type Information

Brand Name: Model:
Coater/Laminator	Press	Slitter/Winder
Gravure	Rewinder	Flexo
Sheeter	Label	Bag Machine
FPD (Provide Details Below)	Other
FPD/Other Details:

Operating Environment:
Clean Room Dusty Corrosive Humid  Class:
Hazardous
Chemicals:
Temp. Range:		Humidity:

Substrate - Please provide as much information as possible.

Surface:

Smooth Porous Coated Tacky Abrasive Other Other:    Coating: Process Point For Cleaning: Pre-coating Pre-printing Post-slitting Sheeting FPD Manutacture Other

Process Characteristics:

Max. Width: Min. Width: Max. Thickness: Min. Thickness: Max. Speed: Min. Speed: Web Tension: Wrap Angle: Roll O.D.: Roll Face Width:

Cleaning Requirements

Min. Size to Remove:     % Removal Desired:

Particle Characteristics

Surface Imbedded Impressed Bonded

Material:

Comments and Additional Information

 

 

 

 

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