Custom Paint and Aerosol Packaging

Sample Request

Please complete this short form below for each desired color match. Submit a copy, and send it to us with two identical "color standards." The color standards should be coated pieces that accurately represent the desired color, gloss level, and substrate of your finished product. One color standard is used during the matching process while the other is left untouched and retained for future batch-to-batch comparisons. A member of our staff will contact you once we have received your color standards and completed Sample Request Form.

Name:
Title:
Company:
Address:
 
City:
State/Prov.:
Zip/P.C.:
Country:
Phone: Ext.
Fax:
E-mail:

 

Color Name/Description (and part # if known):

Type of Container (Check all that apply):

12 oz. Aerosol
Approximate Order Qty. (100 min.)
6 oz. Aerosol
Approximate Order Qty. (100 min.)
Brush-in-Lid Bottle
Approximate Order Qty. (100 min.)
Paint Marking Pen
Approximate Order Qty. (100 min.)
Other (Describe in "Special Notes" below)

Approximately how long will above Order Quantity last? Months

Additional Information

Type of surface to be touched up
Bare metal   Painted   Other

Primary light source? Check all that apply.
(If more than one, list below in "Special Notes".)
Daylight   Fluorescent   Incandescent

Resin system type? (see notes below)
No preference   Enamel   Lacquer

Aerosol spray pattern?
Fan   Round   N/A   Other

Aerosol carton size?
12-pak   6-pak   N/A   Other

Aerosol cap type?
Small 1" stacker cap   Large double-shelled (DS) cap   N/A

Labeling requirements?
No preference (Custom-Pak stock label)
*Semi-private label using your company logo
*Multi-color private label
*One-time label development charges will apply

Special notes?
(Provide details about your Sample Request,
(i.e., performance requirements, VOC issues, etc.)
Before hitting the submit button, please print out the completed form and send it with your color standard samples.