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PROTOTYPE REQUEST
Prototype Request
Company Name:
*
Contact Name:
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Contact Email:
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Contact Phone:
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Ship to Address:
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Chemical Name:
*
Manual or Auto:
*
Select One
Manual
Auto
Manual or Auto:
Felt Height:
Dead Space
Dead Space:
Space between felt and guide. Dimension B in drawing above.
Applicator Type:
*
Prime Width:
Primary Surface:
Edge/Side Surface:
Secondary/Back Surface: *if applicable
Applicator or Dimension Requirements:
*
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Select Your Sales Rep (If Known)
Jeff Schnapp
Gil Duran
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