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AQUEOUS PHASE CORROSION PREVENTATIVE

We invite you to fill out the following information, in an effort to glean as much information about your process to allow us to make an informed product recommendation.

We are not looking for proprietary information, and will treat all inquiries with discretion. If you would prefer, contact us directly. We thank you in advance for your interest in our products and expertise.

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Preferred method of contact: Email Phone Fax

Name *

Company Name *

Position with Company

Company Address

City

State *

Phone *

Fax

Email *

Identification of Request

What improvements are required?

Local Environmental Restrictions

Method of disposal

Potential volume

Specific Information

Part Description:

Type of Metal Being Coated:

Prior Operation or Treatment:

Surface Condition at Time of Application:

(wet, dry, hot, cold, oily, porous, polished, other)

Method of Application or Description of Operation:

(Protection in Solution, Dip, Spray, Roller, Other)

Type of Film Desired:

Drying Facilities (if applicable):

Exposure Conditions:

In Solution

Normal Plant Atmosphere

High Humidity

Acid Fumes

Outdoor Exposure

Length of Desired Protection: