Request-form for (pilot) micronisation

Please fill out this enquiry form and submit it. Alternatively you can print our
pdf-form Q-QM-010-FL and fax it.

The fields marked with * are mandatory.

Company information  
Company name *
Full address *
(Street, ZIP, City, Country)
Phone
Fax
Contact person *
E-Mail address *
Department
Primary product  
Product name *
Appearance
Particle size *
Bulk density [kg/m3]
Melting point [C]
Solubility *
Toxicity (class or LD50) *
Hygroscopicity
Sensitivity to light
Explosive potential *
Inflammability *
End product specification  
Desired particle size *
Acceptable particle size
General information  
Quantity to be processed *
(once, monthly, yearly)
Single batch size [kg]
Remarks

We will treat your data with the highest discretion.
In the case of an order, we need a safety data sheet.