Can sample of the substates be sent?		Yes: No:
Substrates to be bonded:		to
		to
Size of bonding area:

Is complete coverage required?		Yes: No:
What must bonded assembly resist?		Temperture:	Low: High:
		Water:	Yes: No:
		Oil:	Yes: No:
		Vibration/Impact:	Yes: No:
		Chemicals:	Yes: No:

If yes:  Please list:			Other considerations:
Projected Estimated usage:
Annually:			Monthly:
Is this a start up project?		Yes: No:

What brand are you currently using or sampling?   Please list good features:   Please list bad features:   What test determines a good bond?   Describe adhesive application and assembly: Upload sketch:  Email Address: * * Indicates required fields.