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LUCOBIT AG
Headquarter
Brühler Straße 60
Basell Polyolefine GmbH – B 100
D-50389 Wesseling
Phone +49 (0) 22 36 / 3 78 59 0
Fax +49 (0) 22 36 / 3 78 59 99

pegon GmbH The Polymer Source
Siemensstraße 18
D-50374 Erftstadt-Lechenich
T +49 (0) 22 36 / 3 78 59 70
F +49 (0) 22 36 / 3 78 59 99
Material Development Request |MDR|
To help us and you to speed up development of alternative and new products, you are kindly asked to fill in the MDR form. Within a few days we will evaluate your request and reply with an answer, if your desired material can be produced as an industrial sample.
PROJECT INFORMATION
New Development:
 Conversion technique:
Application:
Proposed chemistry base:
 Other:

Function of the Part
(describe using conditions, environment, assembly conditions, etc.):

Key requirements of article:

Current Material (advantages / disadvantages):
Estimated Tonnage/a:
optimistic case 		Material Price Limit:
?/kg
Sample Quantity:
 Packaging:
 Other:
MATERIAL REQUIREMENTS
MFR
g/10min °C/10kg
Shore
Flexural Modulus @ 23°C (According to ISO 178):

Additional Remarks:
HEAT STABILIZATION REQUIREMENTS
Yes No
UV STABILIZATION AND AGEING REQUIREMENTS
Yes No
If Yes, according to standard:

CHEMICAL REQUIREMENTS
Yes No
Description (temperatures, chemicals, exposure time, procedure, etc.):
FLAMMABILITY AND ELECTRICAL REQUIREMENTS
Flame retardancy needed:
Yes No
Classification:
Thickness of the part:
mm
APPROVAL REQUIREMENTS
FDA BGVV EN71
Others:
MATERIAL COLOR REQUEST
Natural Standard Black Custom Color RAL Color

CONTACT INFORMATION * Required Fields
Company Name*:
First Name*:
 Last Name*:
Job Title:
 E-mail Address*:
Phone Number*:
 Fax Number:
Country*:
Shipping Address for Sample:
Company Name:
 Company Contact Name:
Address:
 Postal Code:
Town:
 Country:
VAT Number:
Enter the word as it is shown in the box below: *

Once you hit the Submit button your request will be processed and you will be sent an e-mail confirmation. If you do not receive your confirmation, please call +49 (0) 22 36/72-13 24