Customer Name*

Contact Person

Contact Phone*

Fax

Address*

E-mail*

Material*

EPOXY SILICONE POLYSULPHIDE POLYESTER POLYURETHANE OTHER

Material Characteristics*

Material Manufacturer*

Product Number*

Volume Ratio

Weight Ratio

黏度@25°C/cPas:

A B

Material with High Shear Sensitivity (TI Value):

Suggested Material Temperature for Operation ℃:

A B

Viscosity for Operation:

Operation Time after Mixing:

mins

Material with Filler, Type of Filler:

Filler:

Grinding Precipitation Vacuum Required

Material with Crystallinity:

Material Specific Gravity:

A B

Material Packaging Size:

Output Method:

Continuous Output: Each Time Intermittent Output: Each Time

Is the Output Valve Fixed or Movable?

Fixed Movable Tube Length: M

Cleaning System Non-cleaning System

Power Supply:

Volts

Phase

Hz

Mechanical Application Description:

Special Instructions or Additional Notes:

*Remarks: Please attach Material Specification Data or samples of 1KG or more.

Metering mixing equipment inquiry form