Information Request Form

Select the items that apply, and let us know how to contact you.
Please fill in as much information as you can.

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Contact name:
Company name:
Company address:
City:
State: ZIP:
Country:
Phone:
Fax:
E-mail:
Your web site: 
Battery chemistry
Battery application:
Battery customers:
Battery growth rate: (%)
Separator(s) in use today: 
Separator layers/wraps:
Separator issues/problems:
Separator annual volume:
Separator price:
Thickness: (mils/mm)
Width/length: (in/Cm)
Pore volume: (%)
Pore diameter: (microns)
Tensile MD/CMD: (Kg/Cm2)
Electrical resistance: (mohm-in2/mohm-Cm2)
Gurley: (Sec)
Electrolyte absorbtion: (g/m2)
Swelling in electrolyte: (%)
Hydrophobic/Hydrophilic:
Additional Comments: