Contact Information
*How did you hear about us?:
Select
Yahoo Search
Google Search
Google Ad
ThomasNET
Affiliate
Employee
Advertisement
Other than listed
Brief Application Description
Please provide a brief description of your application/process
Specific Application Information
Select
One Component
Two Component
Other
if other, specify
Select Type
Acrylic
Epoxy
Grease
Mastic
Oil
Paint
Polyester
Polysulfide
Primer
Sealer
Silicone
Urethane
Other
if other, specify
Select Type
Adhesive Bonding
Cartridge Filling
Casting/Molding
Encapsulating
Fluid Fill
Fluid Transfer
Foaming
Gasketing
Injecting
Laminating
Lubricating
Packaging
Pouring
Potting
Pumping
Resin Transfer Molding
Sealing
Shot Metering
Other
if other, specify
Select Method
Operator Controlled
Machine Controlled
Network Controlled
Robot Controlled
Other
if other, specify
Select Type
Visual Operator Controlled
Metered Shot
Precision Bead
Spray
Timed Shot
Other
if other, specify
Select Type
Single Component
Fixed Ratio
Variable Ratio
Other
if other, specify
Select Type
Mixer not required
Agitator
Disposable Static Mixer
Dynamic Power Mixer
Impingement Mixer
Manual Mix
Solvent Flush Static Mixer
Select Measurement
cc
grams
Liters
US fluid oz.
US Gallons
Not Applicable
Select Measurement
cc
grams
Liters
US fluid oz.
US Gallons
Not Applicable
Select Measurement
cc/min
cu. in./min
lbs./min
US Gal/min
Select Measurement
cc/min
cu. in./min
lbs./min
US Gal/min
Precision Bead Size (A typical example is filled in the box)
Select Measurement
inches
millimeters
Select Measurement
Diameter
Rectangle
Square
Triangle
Parabola
Specify
Not Applicable
Precision Bead Total Length
inches
millimeters
Not Applicable
Production Requirements
Select
Batch Runs
1 shift/day
2 shifts/day
3 shifts/day
Parts per
Select
Batch
8 hr. shift
Minute
Hour
Day
Select Time
Seconds
Minutes
Hours
Per batch
Time allowed to index part
Select Time
Seconds
Minutes
Hours
Per batch
Select Time
Seconds
Minutes
Hours
Per batch
Fluid Specifications
Name of Fluid Manufacturer
Part A-Resin
Part B-Catalyst
Fluid Name
Fluid Product Number
Mixing Ratio by Volume
Parts to
Mixing Ratio by Weight
Parts to
Viscosity @ 77F
cP
Mixed Viscosity @ 77F (25C)
cP
Work Life Mixed
Select One
Seconds
Minutes
Hours
Final Cure Time
Select One
Seconds
Minutes
Hours
Processing Temperature
F
Viscosity at Processing Temp
cP
Specific Gravity or Density
Select One
Specific Gravity
Lbs/Gallon
Filler Type
% by wt.
Supply Container Size
Select One
1 Gallon
5 Gallon
55 Gallon
Tote
Other
Select One
1 Gallon
5 Gallon
55 Gallon
Tote
Other
Is Heating Required? If yes, to what temp?
F
Agitation Required?
Select
yes
no
Thixotropic?
Select
yes
no
Abrasive?
Select
yes
no
Moisture Sensitive?
Select
yes
no
Corrosive?
Select
yes
no
Vacuum Degassing Required?
Select
yes
no
Filtration Required?
Select
yes
no
Select
yes
no
Clean-Up Solvent?
Applicator Valve
Select Type
Draw Back
Flush Tip
Reverse Acting
Spray
Undetermined
if other, specify:
Applicator Valve Actuator?
Select Type
Foot Switch
Palm Button
Parallel Handle Trigger
Pistol Grip Trigger
Robot Actuated
Runbar
Other
if other, specify:
Select Type
Handheld
Mounted on Machine
Mounted on Fixture
Mounted on Robot
if other, specify:
Utilities Available
volts
phase
Hz
psi
cfm
Other Information
Specify any additional Information, Specifications or Standards that are important to accurately complete this quote. Specify any optional equipment and/or features also required such as: supply pumps, pump hook-ups, dispensing motion, system integration, training, etc.