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Company         
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Surface Enhancement Property Desired (select at least one)
Chemical Resistance  Conductivity  
Corrosion Resistance  Dimensional Restoration  
FDA Compliant  High Co-Efficient of Friction  
Low Co-Efficient of Friction  Non-Conductivity  
Release / Cleanability  Traction / Tension Control  
Wear / Abuse Resistance - impact  Wear / Abuse Resistance - sliding  
Have the part(s)/surfaces been coated before?No Preference  No    Yes    
What material is the part(s)/surface(s) made of?No Preference  Aluminum    Bronze    Carbon Fiber    Carbon Steel    Cast Iron    Plastic    Stainless Steel    
Are the parts?No Preference  Cylindrical    Flat    Other    Tank/Vessel    
What is the max temperature the part or surface is expected to see?No Preference  1,001+    251 to 500    501 – 1,000    less than 250 F    
Is the part or surface exposed to any cleaning agents or chemicals within the process it operates? If so, list the agents and PH levels.         
Application PreferenceNo Preference  Doesn't matter    In factory    On-site    
Estimated Surface area to be coated (in square inchesA):         
Description of Part(s)/Surface(s):
     
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