Consultation Request Form

Complete the form below to Schedule a free consultation. Providing as much information as possible will allow us to verify that the product selected is going to provide you with the best solution. A Dymax Representative will contact you upon completion of the form.

Fields marked with an asterisk (*) are required.

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APPLICATION INFORMATION

End item to be manufactured with Dymax product:
Describe the application*:
Substrates to be bonded or coated:
Shadowed Areas:

CURRENT METHOD

Current Product Name:

PROPOSED PROCESS

How many parts will you manufacture per hour?:
How do you plan to dispense and cure the proposed material?:
UV Light Source Used?:

ADHESIVE REQUIREMENTS

Physical Properties:
Test Method for Proposed Material:
Additional Comments or Requirements:
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