Bonding Questionnaire

Company Name

Please enter your Company Name

Name

Please enter your name

Please enter your email address

Phone

Please enter your phone number

Mailing Address

Please enter your mailing address

What are you making?

Provide dimensions, colors, function, any special features. Attach a sketch/drawing if available

Application Type

Bonding (Adhesive)
Joint Filling (Sealant)

It is a

Sub-Assembly
Finished Part

Describe the preferred application method

Please enter a value for the field. If applicable, describe the preferred application method.

Must comply with these standards (e.g. UL, US FDA)

Please enter a value for the field. Must comply with these standards (e.g. UL, US FDA).

Amount of adhesive/sealant required

If known, estimate amount required (weight or volume of adhesive or sealant per unit of time, e.g. pounds/month)

Anticipated production volume

If known, specify number of units expected to be produced per period of time (e.g units per month, per year)

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