Epoxies, Etc... - Product Selection Form

Product Selection Form

The purpose of this form is to assist you in selecting a product for your application. Although we have hundreds of formulations we also specialize in custom formulating products for specific applications. If we do not find an existing product that meets your requirements; we will develop one!

Please fill out this form completely and press the submit button. All field names in RED are required and must be completed before the form will be accepted for processing. Once your request is submitted we will promptly respond with literature and/or contact you regarding your application. If you have any questions about our products send mail to sales@epoxies.com or call 1-800-EPOXIES for assistance.

Tell us how to contact you:

Company:
Address:

City:
State:	Zip:
Country:

Name:
Title:
Phone:	Ext:
Fax:
Email:

Application type (Select all that apply)

Bonding Adhesive		Room Temperature Cure
Coating		Heat Cure
Thermally Conductive		UV Curable
Flame Retardant		Electrically Conductive

New application or using an alternative material (what material)

Operating temperature range (indicate C or F)
to

Desired color (custom color matching available)

Desired viscosity (CPS or high, low, medium)

Desired hardness (Shore or similar scale)

Substrates involved (i.e. anodized aluminum, rubber, etc.)

Desired electrical properties

Environmental exposure (i.e. solvents, chemicals)

Preferred method of application (meter mix, dispensing, spray, etc.)

Anticipated volume (monthly or annually)

Please describe your application and any other requirements:



Epoxies, Etc... 21 Starline Way, Cranston, RI 02921 USA Phone: 401-946-5564 Fax: 401-946-5526 Copyright © 2009 Epoxies Etc... IllumaBond and TriggerBond are trademarks of Epoxies, Etc...		1-800-EPOXIES Email: sales@epoxies.com Directions to Epoxies Etc...