RESEARCH & INNOVATION

COMPANY NAME

COMPANY WEBSITE

COUNTRY / COUNTRIES

Please indicate the ship-to countries for nSTRATA™ Regulatory Affairs Department to verify importation compliance.

EMAIL ADDRESS

TECHNOLOGY OF INTEREST

PRIMARY SUBSTRATE COMPOSITION

Please select one of the following

DESCRIPTION OF PRIMARY SUBSTRATE

What is the item of surface to be treated? A medical device, photovoltaic solar cell, heat exchanger, vehicle, etc?

DESCRIPTION OF SECONDARY SUBSTRATE

Are there other substrates that will also need to be treated with the same material? Please describe.

COMPANY INDUSTRY

Select one of the following, which best describes the substrates market/area/field of use.

IF YES TO ABOVE, PLEASE DESCRIBE

Providing product name, patent number or other identification.

REQUIRED FUNCTIONAL PROPERTY LONGEVITY

MECHANICAL, CHEMICAL & ENVIRONMENTAL RESISTANCE OBJECTIVES

Please outline how the performance lifespan will be quantified and what mechanical, chemical and environmental conditions the coating will be subjected to over time.

INTERNATIONAL TESTING STANDARDS

Please outline ant specific test protocols and desired results (i.e. ASTM)

PREFERRED APPLICATION METHOD

Please select one of the following

HEAT CURING CAPABILITIES

Please select one of the following IF possible

ENVIRONMENTAL CONDITIONS

What are the average ambient temperatures and humidity levels within the application workspace?

CHEMICAL COMPATIBILITY REQUIREMENTS

Please indicate the compatibilities required, as it relates to chemicals that comes into contact with the substrate during and after manufacturing

VOLUME REQUIREMENTS

Please select one of the following, in terms of square footage or units per year

MATERIAL REQUIRED FOR ON-SITE TESTING

OTHER DETAILS

Please include any additional comments that were not included in the above

INTERNAL APPROVAL

Does this project already have a formal approval to proceed (if successful) within your organization

BEGIN THE nDUSTRIALIZE™ PROCESS