Free Packaging Savings Plan

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For urgent or time sensitive requests, please contact your Sales or Technical rep directly by phone or email.

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* Last Name		Address 2
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How would you like us to contact you to respond to your inquiry? For quickest response choose email.

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Please be as specific as possible regarding your request using the options below.

1. What type of materials do you currently use? Epoxy Resin Single Part 2-part Solder mask Grease Silicone/RTV Adhesive Heat sink/thermal compound Other	2. How are these materials supplied ? Tin Tube Cartridge Drum Drum size: Other
3. Please state the manufacturer's name and part or reference number. 4. How many tins/tubes, etc. do you use per month ?	5. How are these materials applied ? Syringe Bottle Brush Gun Dispenser Other
6. How would you like these materials supplied ? Syringe Cartridge Twin-pack Other	7. What benefits would you like to see? Less mess Less waste Less air More control No contamination Faster output Other