Complex Product Development Request
Customer: CPDR#: 
Contact: Title: 
Address:
City, State, & Zip:
Phone: Fax: 
Email:
 
Intended Use: Surface Preparation: 
Substrate: Product Chemistry Desired: 
Application Equipment: Required Film Thickness (Mils): 
Cure Schedule Required: Minutes @:
Product Specifications Attached:
 
Color Name: Number: 
Color Standard: Effects Pigments Needed: 
Illumination: Coating Compatibility Require: 
Delta E Requirement:
 
Gloss Required (%): Pencil Hardness: 
Impact Resistance D/R: MEK Rub-off, 50 D-R: 
Mandrel Bend Requirements: Crosshatch Adhesion: 
Coating Appearance: Smooth:  Textured:  Other: 
 
Special Requirements:
 
Order Size: (Pounds) Annual Volume (Pounds):  (Pounds)
Current Supplier: Price/ Pound: 
 
Sample Size: (Pounds) Date Needed: 
Panels: (Number) Packaging: 
 
Send Sample and/or Panels to:  
 
Special Instructions:
 
Requested By: