Company Contact Name Address City State Zip Code Phone Ext. Email PLEASE FILL IN THE FOLLOWING INFORMATION: 1. What are the parts to be bonded?   to   to 2. What is the size of the bonding area? 3. Do the parts mate flush or is there a gap? 4. How fast do you want the parts to be fixtured? Describe in seconds, minutes, hours 5. How fast do ou need the material to achieve full cure? In seconds, minutes, hours 6. What must the finished assemble withstand?   Temperature-High Low   Contact with water? YES     NO   Contact with any chemicals? YES     NO     Please list what types of chemicals   Vibration / Impact: YES     NO 7. Please indicate any other requirements or considersations for this application: 8. Please indicate the volume on this application:     (Use ounces, pounds, gallons, etc./the number and size of the containers.)   Annually Monthly          Related Links           Adhesives & Glue Anti Static Mats BNC Connectors CableTies Capacitors   Electronic and Wire Cutters Electronic & Electrical Supplies Electronic Tools and Supplies ESD Bags ESD Gloves   ESD Mats ESD Products ESD Tapes Flashlights Gloves   Kapton Tapes LCDs Lead Free Solder Masking tapes Medical Supplies   Polyimide Tapes Powder Free Gloves RF Connectors Solder Pastes Solder Pots   Solder Wires Soldering products Switches Tapes Tools   Task Lightings Ultrasonic Cleaners Workbenches