ABS, PC/ABS, thermoplastic elastomers

* = required
Name *
Company *
Address *
City *
State *
Zip *
Country *
Telephone *
Extension
Fax
E-mail *

Describe the application (include a product name):

Is this a new or existing product?

Describe the physical environment the product will
be exposed to:

Does this application need to meet any special
requirements? Check all that apply:

	Flame Retardant
	Static Resistance
	Low Temperature
	UV Resistance
	Low Smoke
	Other

Do you have specific certification requirements?
(i.e. UL 94VO)

Will the part be subjected to any additional internal
or external tests (i.e. drop tests, impact, wear, etc.)?
If yes, please describe.

Who is the OEM? (optional)

What is the time frame for the project?

What color is the part?

Estimated volume for:

Year 1
Year 3
Year 5

Do you have specific target physical properties?
Fill all that apply:

Tensile Strength (psi)
Izod Impact, notched, 23�C (ft/lb.)
Flexural Strength (psi)
HDT, 264 psi, annealed (F�)
Flexural Modulus (psi)
Flammability Rating (thickness)
Hardness (specify scale)
Surface Restivity (ohm)
Melt Flow (g/10 min)
Other

Current resins or resin families being considered:

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