Product Submission Form English version - Material ConneXion ...

Material ConneXion ® Bangkok Product Submission FormCompany Name:Division:Product Name:Contact informationInitial Contact:Phone: Country code: Area code: Number:Address:General Phone: Country code: Area code: Number: ______________________General Fax: Country code: Area code: _______ Number:E-mail:Website:Contact for: Name Phone Fax Email addressSamples/customer serviceOrders/SalesMarketing inquiries(this information will notbe published)Product Information:Brand Name:Category (circle one):Generic name: (ex: decorativelaminate, floor tile, etc)Year introduced to market:Availability: (stocked or specialorder, Lead-time)Unit priceCarbon-based, Cement-based, Metals, Glasses, Polymers, Ceramics, NaturalsDistribution Channels (if any)Material Properties:Composition:ex: 90% cotton, 10% polyesterDimensions:ex: weight, size, volume- please specify units of measurementVariations:ex: color, textures, etc.Technical properties:ex: abrasion resistance, flammability, no VOC’s, water based,etc.Customization: yes no Please explain:Applications:Rev: 21/11/10Form#: Lib001

What is the product made from ?How is it made ?Is there any recycled material in it ?Is it recyclable ?What are the maximum sizes ?Is there a minimum order ?What colors ?What textures ?Is there any testing data i.e. for wear, UV resistance, colorfastness ?What is it currently used for ?Physical Properties : please selectStiffness Stiff Semi-rigid Flexible RubberyTransparency Opaque Translucent TransparentSurface Hardness Hard Semi-hard SoftGlossiness Glossy Satin MattTexture Coarse Medium SmoothStructure Open CloseImpact resistance Good Moderate PoorUsage Properties : please selectFire resistance High Medium LowUV resistance High Medium LowUsage temperature Low Medium HighOutdoor use Yes NoWear Resistance High Medium LowColorfastness High Medium LowScratch Resistance High Medium LowWater Resistance High Medium LowTear Resistance High Medium LowStain Resistance High Medium LowReflectivity Highly reflective Slightly reflective Light absorbingThermal Conductivity High Medium LowAcoustics High Medium LowRev: 21/11/10Form#: Lib001

Chemical Resistance High Medium LowSustainability Abundant materials Biodegradable Compostable Certified or stewardship Reclaimed Non-toxic/non-hazard Recycled Renewable Waste materialsProcessing : please select Injection Molding Extrusion Thermoforming Printable Drawing Blow Molding Rotomolding Lamination Stitchable Weldable Castable Die cut Wood Working Tools Metal Working Tools____________________________________________________________________________________________________________Please respond via email at infothailand@materialconnexion.comor fax to: Material ConneXion Bangkok Library Fax# 02-664-8459.Tel: 02-664 8448, ext. 221, attn: chompoonujRev: 21/11/10Form#: Lib001