Meyer Seal Enquiry Form

1. Please provide the following contact information:

   First Name
   Last Name
   Company Title
   Organization
   E-mail

2. Region: Australia Asia Europe South America USA Africa Other

3. Contact Phone Number

4. Choose the type of caps: Screw On Clip/Snap On Both

5. Material of Cap  PP PE HDPE PVC PET OTHER    Material of Container PP PE HDPE PVC PET GLASS OTHER

6. Contents of Container 

7. Liner Diameter or Inside Diameter of Cap   MM

8. Type Of  Liner Material   Expanded Foam With or Without Laminate(s) Board Backed Glue on Foil Foam Backed Glue on Foil Board Backed Induction Seal Foil Foam Backed Induction Seal Foil Induction Foil with No Backing Other as specified in "Other Notes" below

9. Preferred Thickness of Liner Material MM

10. Preferred Material Supply   Roll Form (Sometimes called Coil or Tape) Pre-Cut Loose Packed in Boxes Pre-Cut packed in PE Tubes/Bags

11. Quantity of Material Required Per Year (Caps per Year)      Quantity 10K-100K 100K-500K 500K-1M 1M - 10M 10M-100M Over 100M

12. Check box if a Random Print is Required  

13. Other Notes you would like to add
    Other Notes:

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Copyright © 2000 [Benefel Pty Ltd]. All rights reserved.
Revised: June 26, 2003