Colormatch Request Form Colormatch Request Form Date Date Submitted Company Type in your company name. Address 1 Your primary address Address 2 Suite, building, etc. City State / Province Zip / Postal Code Phone Number Fax Number Email Address Enter Email Confirm Email Address Confirm Email Contact First Name Contact Last Name Position Colormatch Request Data Type of Request Colormatch & Produce Colormatch & Color Chips Quote Only Quantity Needs Color Reference Number Pantone, RAL, RV, Federal Standards, Etc. Type of Concentrate Please Select Concentrate (Granules) Concentrate (Pelletized) Dry Color (Powder) Pre-color (produce for compounder's material) Appearance Opague Transparent Translucent Colormatch Specs. Critical Match Commercial Limits Not Critical Spectrophotometer Reading Required? Yes No Do you need a Spectrophotometer printout for your colormatch? Application Indoor Outdoor Water / Marine FDA NSF Mil-Spec Production Process Injection Molding Extrusion Blow Molding Thermoforming Vacuum Forming Base Material PVC, PE, PP, HIPS, LDPE, etc. Type of Material Natural Clear (no-tint) Clear (tinted) Repro Type of Finish High Gloss Low Gloss / Matt Textured Smooth Special Additives Flame Retardant FDA / Food Grade UV Additive (outdoor applications) Process Temperature Please indicate your processing temperature in degrees Fahrenheit Quality of Base Material Virgin Repro Wide-spec Please Note 5 to 10 lbs. of your base material / compound is REQUIRED in order to produce your colormatch chips or sample. Special Instructions or Needs Prove that you are a Human Being and not a Colormatching Robot
