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SCS Parylene Coatings

+1-317-451-8549

Engineering Run Request Form

*Required fields.
Company:
*Contact:  
Job Title:
Street Address:
City:
State/Province:
Zip:
Country:
Phone:
Fax:
*E-mail:  
Description of Part (Including part number if available):
Substrate Material (ie Silicone Rubber, Aluminum, PCB):
Where is this part used? (End market, end use,etc.):
Issue to be resolved or goal to be achieved with Parylene:
Type of Environment where the Parylene will be placed. (e.g. submerged in liquid, cryogenic temperatures, exposed to fuel vapor, etc.):
If Parylene is successful, what would be the estimated annual volume. (It helps us select processing methods compatible with product volume.):
Upon receiving your information, we will contact you to discuss your application, timeline, any associated costs, and shipping information for your engineering run.
Number of Parts:
Desired Date of Part Arrival at SCS:
Carrier: