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I'm Interested In: (choose all that apply)	Adhesive Coating Potting Material Sealant Caulk
What industry does your company represent?
Describe in detail what you have in mind for our materials:
You may submit the form now or continue to fill in your requirements.
What viscosity do you want in the liquid fluoroelastomer?
With what substrate will the liquid fluoroelastomer be in contact? (choose all that apply)
Ceramic Concrete Epoxy Fabric Fiberglass Glass Metal Aluminum Copper Carbon Steel Stainless Steel Titanium Brass Plastic Polyethylene Teflon Rubber EPDM Viton Nitrile Neoprene Silicon Viton Foam Other (please explain):
What type of chemical exposure will the liquid fluoroelastomer be subjected to? (choose all that apply)
None Acids Bases Amines Fuels Oil Gasoline Kerosene Organic Solvents Chlorinated Solvents Hydroxides Water Steam Gases Sulfuric Acid Hydrochloric Acid Nitric Acid Phosphoric Chromic Hydroflouric Acid Other (please explain):
What is the concentration of the chemicals identified above?
What is the service temperature to which the liquid fluoroelastomer will be exposed?
Ambient (70° F) -40° to +450° F -40° to Ambient Ambient to +450deg; F 100° F 200° F 300° F 400° F 500° F 550° F Greater Than 550° F Other (please explain):
What industry does your application represent?
How did you hear about Pelseal Technologies, LLC? Please be as specific as you can.