Request an Adhesive Sample

Please provide as much information as possible. This will allow us to verify that the product selected is going to provide you with the best solution.

Fields marked with an asterisk (*) are required.

*:
*:
*:
*:
*:
*:
*:
*:
*:
*:
*:
Shipping Carrier:
Shipping Account Number:

APPLICATION INFORMATION

End item to be manufactured with Dymax product:
Describe the application*:
Substrates to be bonded or coated:
Shadowed Areas:

CURRENT METHOD

Current Product Name:

PROPOSED PROCESS

How many parts will you manufacture per hour?:
Manufacturing Process:
How do you plan to dispense and cure the proposed material?:
What Type of UV Light Source is Being Used?:

ADHESIVE REQUIREMENTS

Physical Properties:
How do you plan to test the proposed material?:
Product(s) selected:
Additional Comments or Requirements:
*I consent to my submitted data being collected and stored. Learn more

Privacy Policy: We value your interest in the Dymax website and hope you'll return often, seeking solutions for your bonding and coating challenges. Because of this, we consider your contact information and any other information that you provide us as confidential. This means, most importantly, that we do not sell your contact information to anyone. Instead, your information is used by us solely to provide you with the information and assistance you have requested. View our complete privacy policy.