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Please take a moment to complete the following form, so that we can refer the right product to you:
Company Name:
Contact Name:
Mailing Address:
Shipping Address:
City:
Province / State:
Country:
Postal / Zip Code:
Telephone Number:
Toll Free Number:
Fax Number:
Email Address:
Please specify exact type of material to be bonded:
Substrate:
Rigid
Smooth
Porous
Flexible
Rough
Non-porous
Applied by hand
Immediate bonding
Brush
Applied by machine
Delayed bonding
Knife coat
Roller coat
Spray
Extrude
Dip
Pre-applied
Other
Open time required:
Fixturing time required:
Structural
Non-structural
Solvent-based flammable
Solvent-based non-flammable
Water based
Bonding tape
Single-sided application
Two-sided application
Two-part mix
Hot melt
Aerosol
High temperature continuous °F
High temperature intermittent °F
Low temperature °F
Moisture resistance
U.V. resistance
Tensile stress loads
Shear stress loads
Clevage stress loads
Peel stress loads
Flexible bondline
Chemical resistance
Immediate need
Future need
New project
Existing project
Adhesive currently used:
Price / product size:
Estimated monthly volume:
To learn about the benefits of ordering your Adhere products on-line, please contact one of our company reps.
For more information about our products, please complete our product enquiry form.
For more information, please email us at adhere@adheredist.com, or call us today at 1-800-665-7962 (Canada) or 1-204-694-1660.
Copyright © 2011. Adhere Distributors. All rights reserved.
Updated: December 15, 2011.
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