Sample Request for Rare Earth Coatings, Inc.

First Name:
Last Name:
Company:
Address:
City:
State:
Zip:
Email:
Website:
Phone:
Fax:
PROJECT STATUS
	New Design
	In planning/R&D Stage
	Production Scheduled for: Mo:Day:Year:
	Currently in production
	Price Comparison
	Competitor Problems Explain:
	Other
Annual Quantities:
PART DESCRIPTION
End usage of part:
Part description:
Substrate of part:
Coating Application:
	EMI/RFI Shielding
	Heat Shielding
	Conductive Coating
	Reflective Coating
	Anti-reflective Coating
	Dielectric Coating
	Decorative Coating
	Protective Coating
	Prototype Coating
	SLA Prototypes
	Other
Coating Material (if known):
Masking needed:
Exposed Environment

Requirements & Specifications

Comments/ Questions