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Name
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Email
Phone Number
Address
Address 2
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State
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Brief description of application and environment
Type of application
Finishing Part
Functioning Component
Masking
Product Protection
Shipping Protection
Is this an existing part?
Yes
No
If yes, please send to: 2150 Elmwood Avenue, Buffalo, NY 14207
Drawing PDF
If a drawing or image of the part you need to protect is available, please upload file here.
Exposure to fluid?
Yes
No
Period of time exposed to fluid
Temperature Range (Fahrenheit)
Color
Black
Gray
Red
Blue
Green
Yellow
White
Brown
Pink
Other
Special Packing Requirements?
Yes
No
Annual Quantity
Preferred material
Adhesive
Ethylene Vinyl Acetate
High Density Polyethylene
Medical Grade
PETG (tubing only)
Polypropylene
Rigid PVC (tubing only)
Rubber
Silicone
Static Dissipative
Static Dissipative Low Density Polypropylene
Thermoplastic Rubber
Vinyl
Secondary operations needed
Assembly
Cutting
Drilling
Printing
Punching
Other Requirements
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