Trial Questionnaire Form

Please complete as much as possible. Thank you.
Please include a SDS less than three years old
Company Name*
Company Address
Name and Phone Number to Reach*
Date
MM slash DD slash YYYY
General
Trial Quantity
Future Volume
Base Material
SDS attached
Hazardous material
Kst value
Special handling requirements
Timing
Purpose
Standard/Correlation Sample
Testing
Sampling Frequency
Packaging Incoming Material
Packaging Shipping Material
Visit On-site for Trial
Process Specific - fill out for the process(es) needed
Repackaging
Incoming packaging type/size
Packaging Shipping Material
Frequency
Screening
Minimum size
Maximum size
Blending/Mixing
Wet or dry?
Number of Components
Preferred Intensity of Mixer
Grinding/Milling
Wet or dry?
Starting particle size
Target final particle size
Softening/Melting Temperature
Other/Comments
Other/Comments
CAPTCHA
Name
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General