Picco Coatings Lab Request

Please provide as much information below as possible. That way, we can make the best possible match to your existing product or design a new coating to your exact specifications. Items in Bold* are required.

Date Needed By:*

February 2012

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Company Name:*

Address:

Person To Be Contacted:*

Type of Product:*

Current Supplier:

If you have a current supplier, what is the product code for the material you are using now?:

Amount used yearly:*

Shipped In:*

Shipped In (Other):

Desired Selling Price:

What is paint applied to?

(a) Article:*
(b) Type of Surface:*

Preparation or Cleaning before application:*

Color Match of Current Picco Product?:*

If yes, which product:

Can you provide a sample of what you are currently using?:

Color Match to Other Product?:

If yes, please list product name and code number here:

What material goes:

(a) Under this?*
(b) Over this?*

Applied by?

Other:
Number of Coats?*
Thinned?*

Air Drying:

Time to Handle:
Time to Rub or Sand:
Time to Recoat:

Subsequent Operations:

Is the Present Finish Satisfactory? (If not, why?):

Is exact match required (explain):

What Special Properties are Required and Tests Made?

Additional Helpful Information:

Your Name:

Your Phone:

Best Time to Call:

Your Email:*