Please fill in the information below as completely as possible so that we may properly process your custom request. If you feel you need to speak with a Caplugs Custom Engineering Specialist even after filling out the information below, please check the box requesting a follow-up phone call. 
 


 
Brief description of Application and Environment:
             
 
 

 
Product Category:
(check one)
 

 Cap
Wrap   

Plug 
Netting         

Edge Liner
Tubing
 
Modify an Existing Part Number?
  		 Yes No

(If Yes) Part Number:

 

 
Type of Production:
(check one)
 

Injection Molded Plastic
Extruded Netting
Profile Extrusion 		Dip Molded Vinyl
Secondary Operation
 

 
Shape:
(check one)
 
 
 

Round
Tapered
Threaded
Rectangular 		Square
Other-specify
 

 
Style:
(check one if applicable)
 

Threaded
  		Tapered
  		Straight
 

   
Diameter:
 
   
Thread Size:
  		 (optional)
   
Length:
 
   
Is a sample of the
requested part available?
  		Yes No    
   
Is a drawing of the
fitting available?
  		Yes No    
   
Exposure to Temperature:
 
  		Min:           
Max:   
  Exposure to Fluid:
For what period of time?
   
Material:
Materials are best selected by Caplugs Engineering Specialists based upon your information, however, if you prefer a specific material, please specify. 		 
Low Density Polyethylene
High Density Polyethylene
Polypropylene
Static Dissipative
Static Dissipative Low Density
        Polyethylene
PETG (tubing only)		  
Rigid PVC (tubing only)
Thermoplastic Rubber
Ethylene Vinyl Acetate
Vinyl
Medical Grade
Other-specify

 
   
Color: (Specify a color if necessary)
Standard Color options available are dependent upon the material selected.

 
Natural
White
Black
 		 
Brown
Orange
Red 		 
Green        Blue
Grey          Yellow
Specific color match...

 
Note:Tubing available in clear only.
   
Secondary Operations Needed?		  
Punching
Cutting
Drilling 		 
Printing
Assembly
Other-specify 
   
Other Requirements:
             
 
   
Yearly Quantity:
 
  (best estimate)
   
 
If you need a Customer Service Representative to contact
you before processing this request, please check this box: