In order for us to best serve you, please E-mail the following information as completely as possible.

 • Name & Title
 • Company Name & Address
 • Phone Number
 • Type of surface(s) to be coated?   (e.g., glass, metal, etc.)
 • List Surface(s) to be coated?   (i.e. top, edge.)
 • Type/Name/Part No. of chemical to be applied?
 • Width of coating on each surface?
 • Briefly describe your application(s) and production cycle.

Please specify which of the below items you would like to receive:

- Designetics Catalog

- Designetics brochure

- Sales/Training Video DVD:
 • English
 • Spanish
 • German
 • Japanese
 • Chinese
 • French