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* Full Name:

Title:

Company Name:

* E-mail:

* Phone:

Product Application:

Are you an existing customer: Yes No

Application Requirement: Production Maintenance

Components / Parts Assembled:

Mating Substrates:

Estimated Gap Between Mating Substrates:

Required Service Temperature Range:

Expected Load on Mated Substrates (Strength Requirement):

Static:

Dynamic / Vibrational:

Exposure of bonded / sealed area to:

Current product used for this application:

Reason for change:

Request Call Back from Hitlock Application Engineer: Yes No

Primary Area of Concern (Additional comments, if Any):

Company info
- Hitlock Adhesives India
  
  UNIT I:
  104, Chandu Studio Compound,
  Kurla - Kalina Road, Santacruz East,
  Mumbai 400098
  
  UNIT II:
  343, Edison, Raheja District II,
  GEN - 2 / 1 / C / TTC Industrial Area, MIDC, Juinagar, Navi Mumbai 400705
- Telephone: 022 - 2666 0890 / 4195
- Email: info@hitlock.in