Balloon Tubing Request Form

Request for Samples
 
Name
Company Name
Title
Company Address

Phone
FAX
E-mail

 

How did you come to our website? search referral advertisement
other:

 

WILL A DRAWING OR SPEC BE SENT?
YES NO

Type of tube: single lumen multi-lumen coextrusion
other:
 
 
Application
OD: +/-
ID: +/-
WALL: +/-
Or specific size: inch mm
 
Material:
other:
 
Grade or Hardness (if known): Shore A Shore D
 
other: Quantity or length:
 
Properties of material (if material not specified above)
other:
Other
 
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