Colorex - Submission

Required by :

Date :

Phone :

Email :

Client :

Reference :

or sample provided :

*Resin supplied by customer :

Type of resin (3kg/match) :

Requirements :
HMF
FDA

Use % :

UV Protection :
Yes
No

If yes, how long :

Submission only
Color Chip + submission

Qty Color Chip :

Final application :

Request special additive :

Color Match identification* :

* If no resin is provided by the customer, the match will be considered a Commercial Match, so more or less accurate.