Company News Sustainability Management Philosophy

Nordson

Hitachi HSA USA Squid Ink Paragon

Melters Guns

Rebuild/Repairs

MSDS Request Problem Analysis Videos Application Engineering Form

English Espanol

Customer Service Technical Service Sales Representatives

Application Engineering Form

Account Email:

Machinery / Application Method

Machinery Manufacturer

Model Number

Application Method

Spray Extrusion Wheel Other

Application (i.e. case seal, carton seal, jar labeling, etc.)

Current Operating Speed

Desired Operating Speed

units/minute

Compression Cycle Seconds Minutes

Compression Pressure Heavy Moderate Light

Type of Adhesive
Now Being Used

Pot Temp.
(if hot melt)

ºF

Current Adhesive Supplier

Product Name / Number

Substrate(s)

Bonded
To

Are Either of the
Substrates Coated?

Type of Coating

Yes No

Other pertinent characteristics of the substrates

End Use Requirement (indicate continuous or intermittent)

Temperature Extremes

Bond Strength Needed

High ºF Low ºF

Resistance to

	Water		Oil
	Sunlight		Other

Other Standards (specific test and limits)

Cost

Current Price $ per		pound		gallon	Other
		drum		pail

Container Size

Units Bonded per Container

Monthly Volume

Purchase Frequency

Adhesive manufacturing
location

Shipping Charges /
FOB points

Plant Conditions

Ambient Temperature

Humidity

ºF, Summer ºF, Winter

High Low

General Conditions

Other relevant factors

	Clean		Dusty
	Wet		Dry

DISTRIBUTOR

SALESMAN


	Download as a Microsoft Word Doc
	Download as a Adobe PDF file