appli-tec manufactures and packages high performance adhesives, as well as providing in-house services such as potting and encapsulating customers’ components. If you would like a sample of an appli-tec product best suited to your application, or more information on how appli-tec can help you meet the demands of your application, please call (603) 685-0500, or complete the survey below and click “Submit.” To best serve you, fields marked with an * are required.

Company Name*:

Contact Name*:

Telephone*:

Address:

City:

State/Province:

Zip/Postal Code:

E-mail*:

Is your company currently using adhesives?
Yes No

If so, primarily what type:
Select Thermal conductive Electrically conductive UV curable Other

How are the adhesives dispensed?
Select Pneumatic Static mixing Mechanically Other N/A

Please list the manufacturer and part number in the space provided:

What is the adhesive used for?
Select Bonding Coating Sealing Potting Other N/A

What are the surfaces you are bonding?
Select Glass: treated Plastic Steel, Brass, Aluminium, etc. Other N/A

How are the surfaces being prepared?

Select any specifications the material must meet (hold down the shift key, or Command key on the Mac, to make multiple selections):
Viscosity Color Temperature Military Other

Is there a required pot life for the material?
Yes No

What type of cure will be used to cure adhesive?
Select Room Temperature Oven UV Other N/A

What is the curing time, if required?

What size syringe, cartridge, bag, etc. is preferred?

What are you building?

How much material are you dispensing at a time?

If you have any questions or comments about appli-tec or adhesives, please list them in the following field: