Color Match Request Form

Contact Name (*)	Please type your full name.
Title	Invalid Input
E-mail (*)	Invalid email address.
Phone	Invalid Input
Company Name	Invalid Input
Company Address	Invalid Input
City, State, Zip	Invalid Input
	Project Information
Type of Colorant	- Select One -Concentrate (check preferred LDR)Dry ColorPre-colored resin Invalid Input
Preferred LDR (Concentrate Only)	- Select One -1% (100:1)2% (50:1)3% (33:1)4% (25:1)Low as PossibleOther (See comments) Invalid Input
Color Standard	- Select One -Physical Standard sent via MailPantone Number (enter below)Concept Match (describe below) Invalid Input
Comments	Invalid Input
Appearance	- Select One -OpaqueTransparent / Translucent Invalid Input
% Light Trans.	Invalid Input
Min. Part Thickness	Invalid Input
	Other Commercial Info
Customer ID / Code #	Invalid Input
End Application	Invalid Input
Target Coloring Cost	Invalid Input	(LDR x price/lb)
Current Supplier	Invalid Input
Estimated Order Size	Invalid Input
Regulatory	- Select One -FDACONEGHeavy Metal FreeEU Food CertificateNo Restrictions Invalid Input
Weatherability	- Select One -Indoor OnlyOccasional Outdoors1-3 Year Stability3-5+ Year Stability Invalid Input
	Resin Info
Base Resin Type	Invalid Input	Resin that the color is used in
Supplier / Grade	Invalid Input
Melt Flow	Invalid Input
Resin Requirement	- Select One -Must use exact resin above - being sent via mailMust use exact resin above - Penn Color to acquireOK to use comparable grade of Penn Color's choice Invalid Input
Carrier Resin	- Select One -Penn Color to selectUse Specific Resin Invalid Input
Details of specific resin	Invalid Input
	Process Conditions
Extrusion	Sheet Profile Will be Thermoformed Co-extruded Invalid Input
Blow Mold	Single Stage 2 Stage Extrusion Blow Invalid Input
Compounding	Single screw Twin screw Invalid Input
Injection Molding	Invalid Input	Enter maximum processing temperature.
	Check Tolerance
Visual	Critical (little or no visible color difference) Commercial (approx 1 unit DE or less) Invalid Input
Numerical Color Space	CIE-Lab CMC FMC-II Hunter Other Invalid Input
Light Source	D65 CWF A Invalid Input
Details	Invalid Input	Max DE, Max L, A, B, etc.
	Additives
Additives	- Select One -UV StabilizerAnti-OxidantOther Invalid Input
Comments	Invalid Input
	Needed for Evaluation
Evaluation	- Select One -Color ChipsSample Invalid Input
Comments	Invalid Input	Enter quantity or weight
	Other
Documentation	MSDS FDA/CONEG Letter Pricing Tech Data Sheet Numerical Data EU Food Certificate EU MSDS Other Invalid Input
Requested Delivery Date	Invalid Input
Additional Comments / Details	Invalid Input
Human Test	Refresh Invalid Input