Lab Request Form - Organic Dyestuffs Corporation

Lab Request Form

Please fill out the form below to contact us with your project needs, and a representitive will get back to you shortly.

*Required Fields

Customer Information:
*First Name		*Last Name
Title		*Company
Address		City
State		Zip Code
Phone		Fax
*E-mail
Project Objective Information
1. General Description of Objective:

2. Materials to be Colored:
Textiles	Paper/Pulp		Fur/Feathers
FD&C	Chemical Compounds		Agricultural
Detergents	Oils, Solvents, Waxes		Ink
Plastic	Aluminum / Metals		Water Tracing
Leather	Other:
3. Shade Match To:
Type of Light :
Pantone™ Shade # :
Customer Standard Supplied
4. Shade Match On:
Customer's Material / Goods
Other :

5. Physical Property Requirements:
pH Stability to
Temp Stability
Fastness to Light
Fastness to Washing:
Other :

6. Customer Production Equipment / Procedure Description: