Application Development Request
   Please submit as much information as possible, including your contact information.

Name:

Address:

City:

State/
Province:
Zip Code:

Company Name:

Country:

Email:

Phone:
Name of component:
Quantity of parts to be processed:
If multiple lots, Monthly/Yearly estimate of parts:
Describe component's function:
How does the component interact with other parts?
Component dimensions:
Part material(s):
Interactive part material(s):
Finish of the parts?
Finishing method applied:
Sintered material? Yes or No
Heat-treat process applied? Yes or No
Heat-treat residue remaining?
Yes or No
— if yes describe:
Existing coatings on the parts?
Yes or No
— if yes describe:
Residual magnetism? Yes or No
Next three questions may be answered on a drawing.
Surfaces to coat:
Surfaces OK to coat but not
mandatory:
Surfaces to avoid coating:
Thickness of coating desired:
(optional)
Can a part drawing with details be sent via mail, email or faxed?
How man hours of operation does the component endure?
Operating temperature:
Application type:
If 'Other' application:
771 Crosspoint Dr. • Denver, NC 28037 • 1-866-5-RAPTOR [1-866-572-7867] • Fax: 704-489-2177 • Tel: (704) 489-1488