Please fill out this form as completely as possible so that we may be of assistance, or email us directly with your question.

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Need a sample?

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Tell Us About Your Needs

By providing us with the following information we will be better able to recommend the most appropriate product for your application. We will contact you to further discuss your needs.

Please enter in the compound you are using as well as its cure time & temperature where indicated.

Compound:
Cure Time:
Cure Temperature:

Select All The Following Which Apply

Hose Process Information:		Molding Process Information:
Cure Times		Cure Times
Cure Temps.		Cure Temps.
Tube Compound		Compounds
Mandrel Compound
Steel Mandrel		Compression
Rubber Mandrel		Injection
Nylon Mandrel		Transfer
Curved Mandrel		Rotational
Pan Cure		Ribbon
Nylon Cure		Profiles
Reel Cure
Other
Slab Dip		Spray
Tube		Brush
Cover		Dip
Jackets
Spray
Flow Coat
Dip/Wipe
Rag/Sponge
Applied Internal

Thanks! One of our staff technicians will contact you shortly to confirm your sample request, or to answer any questions.

If you have any questions or problems with this form, please send email to rcony@verizon.net