Phone:(860)693-6147
Fax: (860)693-6136
E-mail: info@visualpolymers.com


34 Westwood Drive
Canton, CT 06019

Needs Assessment

Contact Information
Company:   

Name:        Title:
Address:    City: State:
Phone:         Fax: 
E-mail:          Website:  http://

Application Information
Current Application:   Current Resin (s)
Annual Volume (lbs): 


Application Requirements (Please check all that apply)

Outdoor Use 
              F.D.A.                      Class VI

Clarity
Define: 
Processability
Define: 
Impact Strength
Define: 
Chemical Resistance
Define: 
Tensile Strength
Define: 
Post Molding Processes
Define:
Heat Deflection Temp.
Define: 
Price
Define:
Color
Define: 
Packaging Requirement
Define: 
Sterilization
Define: 
Lead-time Requirement
Define: 

Additional Comments: