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Material Request Application

Material Request Form

Please fill out the following details and someone from our office will promptly follow-up with you. In advance, thank you for considering Modified Plastics!

 Yes No
 Yes No
 UV Protectant Flame Retardant FDA Certified REACH Certified RoHS Certified Other (use box below) None
 55+ lbs. 110+ lbs. 250+ lbs. 550+ lbs. 1,100+ lbs. 2,200+ lbs. 5,000+ lbs. 10,000+ lbs. I don't know

 25,000+ lbs. 75,000+ lbs. 150,000+ lbs. 250,000+ lbs. 500,000+ lbs. I don't know

 

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