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| Would you like a technical salesperson to contact you? If so, please help us be prepared by providing some background information. |
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| Provide a brief description of your application and performance requirements; include attachments to support the description: |
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| Material to be joined? are dissimilar materials used? If so, please describe: |
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| Is this a current or new application? |
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| Annual unit volume - if multi-year growth please provide: |
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| Are parts or drawings available to assist with our design review, if so, please attach. |
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| What are the performance requirements? (i.e. leak proof, pressure tight, structural.) Please define key test requirements |
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| What is most important to you regarding this application assessment? |
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| What is your timeframe for design, prototype and/or production? |
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