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  Chamberlin Rubber Company, Inc. :: Gasket Quote Form

Gasket Quote Form
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First Name:
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OEM/Manufacturer
 Exporter
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Do you have a dimensional drawing?
You can upload it here : 		 
If you do not have a drawing, What are the dimensions?
 
Is there any specification(s) for this material?
 
What is the temperature - Low Temperature/High Temperature
High Temp °F
Low Temp °F		  
Application - How is the gasket being used
  
What are the tolerances?
 
Is there any pressure involved in the application? -If so, what is the pressure
  
Are there any special requirements?
  
Durometer?  
Do you need PSA(Pressure Sensitive Adhesive)?

If so what type of PSA? Silicone Acrylic Rubber		  
Based on the material designation,
is there a compression % you are looking for? If So What % 		 
What is the gasket subjected to? fluids, chemicals (concentration of chemicals), steam, etc
  
What is the quantity?
Is this a one-time quantity, per year, per month, or per week quantity?
  
Will there be releases?
  
Delivery Requested?  
Do you have a target price?  
 
   

 

 
 
 

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Chamberlin Rubber Company, Inc.
3333 Brighton Henrietta TL Road ~ P.O. Box 22700
Rochester, NY 14692
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