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Company Name

Street Address

City

State

 

COUNTRY

Zip

Your First & Last Name

 

Phone Fax

 

Email

 

Extruder Size

 

Extruder Type

 

Type of Extrusion

 

Material Type

 

Screen Mesh

 

Lbs/Hour

 

Back Pressure

 

Screen Change Pressure

 

Screen Change Interval

 

Melt Pump Used

 

Additional Comments:

 

 

 

 

 

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