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Contact Phygen for Quote Request

Phygen UltraEnduranceSM Coatings
Quote Request Form

CUSTOMER INFORMATION
* Required
*Required
*Required
COMPONENT HISTORY:
Manufacturer:
Downtime
Hrs/$:
Overall Dimensions
W x L/Dia x Ht: 		Number Used
per Year:
Total Annual Cost
(excl. downtime):

 
Which of the following wear mechanisms best characterizes
the reason for component failure?

 
Please describe the component function and
operating conditions (i.e. pH/operating temperatures)

HEAT TREATMENT CYCLE OF TOOLING/COMPONENT TO BE TREATED
This section to be completed with the assistance of your Phygen Representative.

°F Minutes
°F
°F Minutes
WORK REQUESTED SPECIAL SERVICES
Please attach a print / sketch and/or a photograph of the component including its dimensions and tolerances. Please indicate the critical surfaces to be coated. (PDF or JPG Preferred):
* Required
     
     
     


Please identify any regulatory / quality compliance matters
(for example FDA/AMS 2444)

Phygen Coatings, Inc.
1400 Marshall Street, NE / Minneapolis, MN 55413-1040
Toll Free 888.749.4361 / Fax 612.331.4230 / component@phygen.com