Your Email *

Company Address Line 1 *

Company Address Line 2

Company City *

Company State *

Company Postal Code *

Description of the product(s) and how it will be used? *

If available, please provide a link to this product or similar example?

Are you seeking antibacterial protection? * yes no

If seeking antibacterial protection, why? *

Are you seeking antifungal protection? (mold and mildew) * yes no

If seeking antifungal protection, why? *

Do you wish to leverage the Microban brand as part of this product offering? (packaging, advertising, marketing claims) * yes no

What is the projected launch date of the treated product? *

What is the estimated life-span of the product? (years) *

Preferred form of additive? * powder pellet liquid

Of the parts to be treated, are any transparent, translucent or opaque? * Transparent Translucent Opaque

Will this product be exposed to UV light? * yes no

If yes, please explain

Does the product have food contact? * Yes No

If yes, please explain

Does the product have drinking water contact? * Yes No

If yes, please explain

Is the product NSF certified? * yes no

Is the product UL certified? * yes no

Please describe the level of skin contact, if any.

Please list any other details or requirements

Please list all countries and states where your manufacturing facilities are located *

Where will R&D samples be shipped to? *

Please list all countries and states where product will be sold *

Is the product currently sold in these countries and states? * yes no

Product SKU or Part Number

What color is the part? * Black Blue Clear/No Color Green Grey Orange Other Red Tan White Yellow

What is the manufacturing process? * Fiber Extrusion Film Extrusion Foam Injection molding Liquid-applied (Caulk, Paint, PU, Epoxy, Lacquer) Other Powder coating Rotomoldiwng

What is the material type? * ABS BMC Caulk Cementitious Grout Coating Enamel EPDM Epoxy EVA, PS Lacquer M-ABS MF/UF/PF (melamine) NBR Nitrile Other PA Paint PC PE PET PEVA PMMA Acrylic Polyester POM (Acetal) Powder Coat PP PU PVC Rubber SAN SEBS Silicone Tile TPE TPU Tritan

Weight of treated part (lbs) *

Annual Demand (in units) *

What is the retail price of the product? *

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