Customer Information

Contact Name *
Company
Address *
City *
State *
Zip *
Country
Phone *
E-mail *
Website
Application information

Description of application
This application is?
short term (< 3 months)
medium term (3-12 months)
long term (> 1 year away)
Wavelengths to be blocked/absorbed (nm)
Absorbance (OD) or Transmittance (%)
Wavelengths to be transmitted/pass (nm)
Absorbance (OD) or Transmittance (%)
Is there a spectral curve you would like us to match?
Military Specification?
Is there a peak absorption (nm) that is key to the application?
Processing Information

Will the dye be:
compounded into a thermoplastic to be extruded/molded?
formulated into a coating or ink?
cell cast?
other
If other, please explain:
Processing temperature? (C or F)
Duration of this temperature?
If molding, what is the thermoplastic?
polycarbonate
cellulose propionate
acrylic
epoxy
polyurethane
other
If other, please explain:
Grade or name of thermoplastic if known?
Do you have a sample part?
If this is a coating or ink what is the solvent?
MEK
xylene
ethyl acetate
cyclohexanone
methylene chloride
water
other
If other, please explain:
Do you have a resin selected for the coating?
If yes, which?
How is coating applied?
Any other information

Any other information, specifications, trade-offs we should consider?
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