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Custom Masterbatch
Stock Masterbatch
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Dry Powder Blends
Color Match/Sample Request Form
Customer Information
Date Required*:
Contact*:
Company*:
Address*:
E-Mail*:
Phone*:
Fax*:
If requested sample is to be shipped to other than above, please fill out the information below.
Attention:
Name:
Company:
Address:
E-Mail:
Phone:
Fax:
Color Match Information
Color Description*:
Customer Part Number:
Required Letdown Ratio:
Application/Part Description:
Target*:
Part
Competitive Material
Pantone Number
Other
Please enter in additional details (Pantone Number, etc.)
Product Type*:
Dry Color
Dry Color Units
Concentrate
Non-Dusting
Resin/Dry Blend
Please enter in units to color for what resin amount
Tolerance*:
Critical
Close
Commercial
Concept
Evaluation*:
Visual
Instrumental
Both
Δ E*
Δ L*
Δ A*
Δ B*
Color Geometry*:
CIELAB
CMC
Other
What color geometry was used in this calculation?
Light Source*:
D65 Daylight
Cool White Fluorescent
Horizon
Other
Please enter in additional details.
Opacity*:
Opaque
Translucent
Transparent
Exposure Requirement:
Permanent Outdoor
Partial Outdoor
Permanent Indoor
Automotive OEM:
Model Year/Line:
Interior
Exterior
Under Hood
Specification Number:
Comments:
Material Information
Resin Type*:
PP
CO-PP
HDPE
LDPE
LLDPE
ABS
HIPS
GPS
Acrylic
SAN
Acetal
RPVC
FPVC
Polycarbonate
Nylon
Other
Please enter in additional details.
Manufacturer:
Product Code:
Melt Flow:
Filler Type:
Customer Resin Supplied?
Comments:
Process Information
Process Type*:
Extrusion
Injection Molding
Blow Molding
Rotational Molding
Other
Please enter in additional details.
Temperature Range:
Cycle Time:
Hot Runner System?
Comments:
Regulatory
Regulatory*:
FDA Approved
NSF Approved
Heavy Metal Free
CONEG
RoHS Compliant
Other
Please enter in additional details.
Comments:
Additives
Additives*:
UV Stabilizer
Antioxidant
Antistat
Slip
Blowing Agent
Mold Release
Flame Retardants
Other
Please enter in additional details.
Type/Protection:
Requirements & Pricing
Estimated Annual Volume:
Competitive Pricing:
Requirements:
Quote
MSDS
COA
FDA Letter
RoHS Compliant
UV Letter
Color Chips
Sample
Other
Price Breaks
25
50
100
250
1,000
3,000
5,000
10,000
Other
Please enter in additional details.
Unit Price Breaks
10-20
21-50
51-100
101-200
201-500
Other
Please enter in additional details.