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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!

    YesNo
    YesNo
    UV ProtectantFlame RetardantFDA CertifiedREACH CertifiedRoHS CertifiedOther (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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