Technical Services Request Form

Date Submitted         Date desired for completion

 

Customer*				Sericol TSM
Address *					Dealer Information
City*				Dealer Company
Phone*	Fax			Dealer City
Customer Contact				Dealer Contact
				Email Address

Match Information                   Mesh & Squeege Information Mesh Count Thread Weave Squeege   Anilox                         General class of Substrate                         Trade Name of Substrate Manufacturer                         Exact Substrate Description Ink Technology                         Exterior Durability Required Print Method                         Has substrate been flame/corona treated? Yes   It needs to be flame/ corona treated   Substrate cannot or will not be treated   No   Not Needed                               Describe the end use of the product                         Are there any specific requirements for the ink? ie. chemical resistence etc.                         Is there any post print processing? ie. diecut, pre-mask,vacuum forming etc.                         In detail, describe what you would like Tech Services to do

Weathering Instructions   What weathering are you requesting?   QUV   Xenon   Roof           Total Duration: Hours Years Checking every Hours Days       Monitoring:: Gloss Delta E

Shipping Information for returned prints/tests             How to ship*   Shipping address IF other than customers:         Freight paid by:*           Ship to Whom?*                         All sections marked* need to be completed   1101 West Cambridge Drive Kansas City KS 66103 Phone. 1-800-SERICOL Fax. (913) 342-0849