*Company
*Your name
*Your email
Your phone
Address
*Type of Colorant - Select One - Concentrate (check preferred LDR) Dry Color Liquid Color
Color Name
Preferred LDR (Concentrate Only) - Select One - 1% (100:1) 2% (50:1) 3% (33:1) 4% (25:1) Low as Possible Other (See comments)
*Color Standard - Select One - Physical Standard sent via Mail Pantone Number (enter below) Concept Match (describe below)
Comments
*Appearance - Select One - Opaque Transparent / Translucent
% Light Trans.
Min. Part Thickness
Customer ID / Code #
End Application
Target Coloring Cost (LDF x price/lb)
Current Supplier
Estimated Order Size
*Regulatory - Select One - FDA CONEG Heavy Metal Free EU Food Certificate No Restrictions
*Weatherability - Select One - Indoor Only Occasional Outdoors 1-3 Year Stability 3-5+ Year Stability
Base Resin Type (Resin that the color is used in)
Supplier / Grade
Melt Flow
*Resin Requirement - Select One - Must use exact resin above - being sent via mail Must use exact resin above - PCI to acquire OK to use comparable grade of PCI's choice
*Carrier Resin - Select One - Must use exact resin above - being sent via mail Must use exact resin above - PCI to acquire
Details of specific resin
Extrusion
Blow Mold
Compounding
Injection Molding (max. processing temp.)
Visual
Numerical Color Space
Light Source
Check Tolerance Details (Max DE, Max L, A, B, etc)
Additives - Select One - UV Stabilizer Anti-Oxidant Other
Evaluation - Select One - Color Chips Sample
Documentation
Requested Delivery Date
Additional Comments / Details