Compounded Pellet Extrusion Request Form

PART ONE - ORDER INFORMATION
Request Date
Requester Company
Requester First Name
Requester Last Name
Requester Email
Phone
Purchase Order #
Reference Document
Product Application
Ship To
PART TWO - MATERIAL DESCRIPTION
WT%
POLYMER TYPE
TRADE NAME
GRADE NUMBER
ADDITIVE / COLORANT
%
%
%
%
PART THREE - PACKAGING
Final Quantity
Bag(s) with each 
PART FOUR - PRODUCT SPECIFICATION

Compounded Pellets

Pellet Size

You will receive a cost quotation via email within 24-36 hours or less.