Pacothane Request Form

P R O D U C T & I N F O R M A T I O N R E Q U E S T F O R M

Requestor Contact Information
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Name*		Today's Date (mm/dd/yy)
Title		Company Name*
Street*
City*		State or Region*
Country*
Zip Code*
Phone*		Fax
E-mail*
Sample and Information Request
Lamination of Rigid Multilayer	Send Product Info	Send Working Sample Test Kit
High Performance Release Film
As an alternative to: (Product now being used)
Pressure/Temperature Diffusers
For equalization of Press Pressures: As an alternative to: (Product now being used)
To control Press Temperatures: As an alternative to: (Product now being used)
Non-Stick Temperature Diffuser
As an alternative to: (Product now being used)
Multi-use Heat Lag Pad
As an alternative to: (Product now being used)
Pressure Testing Kit
Blind Via Hole Lamination System
As an alternative to: (Product now being used)
Breathable Release Paper for Urethane Foam Molding
As an alternative to: (Product now being used)
Inner Layer Separator Sheet
As an alternative to: (Product now being used)
Lamination of Flexible Circuits	Send Product Info	Send Working Sample Test Kit
Conformable Release Sheet
As an alternative to: (Product now being used)
Conformable Hydraulic Film
As an alternative to: (Product now being used)
Ultra High Temperature Release Film
As an alternative to: (Product now being used)
Contaminate Control	Send Product Info	Send Working Sample Test Kit
Tacky Film for Contaminate Removal
As an alternative to: (Product now being used)
Supplemental Information
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Tel: 413-534-7800 Fax: 413-535-2123
info@pacothane.com
Pacothane Technologies, 3 Valley Mill Road,
Holyoke, MA 01040
A Division of Multilayer Worldwide Enterprises LLC.
© Copyright 2006, Pacothane Technologies, All rights reserved.