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Phygen UltraEnduranceSM Coatings
Requisition/Quote Form

CUSTOMER INFORMATION
* Required
Zip Code:
*Required
Fax:
*Required
SHIP TO INFORMATION
TOOLING / COMPONENT DESCRIPTION

PLEASE PROVIDE A DRAWING/SKETCH OR INCLUDE A PRINT INDICATING (PDF or JPG Preferred):
Critical areas to coat (mark part with red permanent ink)
Areas that do not require coating (part not marked) and
Areas that require masking - no coating allowed (mark part with blue permanent ink)
* Required

 
HEAT TREATMENT CYCLE OF TOOLING/COMPONENT TO BE TREATED
°F Minutes:
°F
°F Minutes:
Note: Surface requirement for coating, depending on applications should be
well polished with edm, white layer, heat treat scale or suface oxides removed.
PROBLEM / ISSUE TO SOLVE
 
(Pieces per Hour)
WORK REQUESTED



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Phygen Coatings, Inc.
1400 Marshall Street, NE / Minneapolis, MN 55413-1040
Toll Free 888.749.4361 / Fax 612.331.4230 / tech@phygen.com