1. Do you need engineering assistance with the selection of the adhesive,
coating, ink, etc.? Yes No If so, please describe your application in detail. Ex) Size, thickness, substrate etc.

1. What is your current process and type of adhesive?
2. Is this a new product development?
   Yes No
3. Would you like to send us a sample of the product to be bonded, coated, etc.?
   Yes No

2. Is your inquiry initially focused on learning more about the UV process? Yes No or have you already decided that the UV process is what you will used and you are looking for the best equipment? Yes No

3. How many UV units or stations do you require? 

4. When do you anticipate you might purchase?  

5. How soon do you need a quotation?  

6. Do you require a proforma invoice?   Yes No If so, Any special instructions.

7. Do you want the equipment in scheduled deliveries?   Yes No If so, describe your schedule

8. Do you need custom engineered equipment?  Yes No if so, please describe your requirement.

Thank you for your interest in our products and taking the time to fill out this questionnaire

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