TECHNICAL QUESTIONS

Company

Your Name

Address

City

State

Zip

Phone

Email

Are you using an adhesive currently?
 Yes No

If you are using an adhesive what properties would you like to improve?

Describe the substrates being bonded.

What is the size of the area being bonded?

Is a slow, medium, or fast setting glue desired?
 Slow Medium Fast

How many seconds?

Will the bonded parts be handled soon after the adhesive is applied?
 Yes No

Will the adhesive be exposed to elements?
 Yes No

Will the bonded area be exposed to water, chemicals, humidity, extreme cold and/or heat?
 Water Chemicals Humidity Extreme cold Heat

If other please explain:

Will the adhesive be applied manually or by an automated system?

Can you describe the application process?

What is the product being manufactured?

How many parts per day will be bonded?

Is a 2-part adhesive sytem acceptable?
 Yes No

How many minutes of open time is required?

Is a one part adhesive acceptable?
 Yes No

Is a UV adhesive acceptable?
 Yes No

Is a hot melt acceptable?
 Yes No

Do you need dispensing equipment?
 Yes No

Do you need a sample?
 Yes No

Other Notes:

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