Request a Recommendation

Step 1: Personal Information
Fields marked with * are mandatory

  • Name *
  • Company
  • Position
  • Phone Number *
  • Fax Number
  • Email Address *

Step 2: Project Information
Fields marked with * are mandatory

  • Project Nam/Ref. No.
  • Project Location *

  • Date
  • Date & Time Required *


General Project Description & Size

Step 3: Project Details
List all substrate materials and give a detailed description of the existing conditions.

Steel

Concrete

Tiles

Bricks

Concrete Block

Wood

Other

Step 4: Project Details, Part 2
Check apropiate boxes

Type of service : Dry Splash/Spill Immersion

Describe

UV Exposure : Yes No

Describe

Proposed Application Method : Spray Brush Roller/Squeegee Trowel/Putty Knife

Describe

Proposed Curing Method : Heat Ambient

Describe

Describe anticipated substrate exposure during application and curing (i.e. UV, temperature, humidity):

Former chemical exposure

Chemical Concentration % Temp range (ºF) Rapid Temp changes? Pressure Max. temp. exposure
Yes No
Yes No
Yes No
Yes No

Anticipated chemical exposure

Chemical Concentration % Temp range (ºF) Rapid Temp changes? Pressure Max. temp. exposure
Yes No
Yes No
Yes No
Yes No

What, if any, products or systems have been tried in the past for this application, and what were the results?

Are there any aesthetic considerations? (e.g. color, sheen, etc.)

If new product development is a consideration, what, if any, budgetary constraints apply?

Additional Comments:

Are other projects being considered at this time by your company or organization? (If so, please describe each briefly.)