Ames Corporation | Start Your Project

Corporate Headquarters, United Sates
19 Ames Boulevard
Hamburg, New Jersey 07419-1514

Tel: 973-827-9101
Fax: 973-827-8893

info@TheAmesCorp.com

*Required information

My Design Request relates to the following market application

	Office Automation (rolls - fuser, heat, platen, transfer, etc.)			Alternative Energy (seals)

	Industrial / Automotive (moldings, extrusions)			Respiratory Protective Devices (Insert Molded Components, coatings)

	Government / Military (high quality molding, coatings)			Other, Please Specify

	Aerospace/ Aircraft (special high performance coatings)

Project Goal

New Product Development Performance Improvement Cost Reduction

Other, please specify

Comments on my design goals, product end use:

Comments on Chemical Environment:

Comments on Temperature Operating Range:

Project Goal

Expected yearly usage:

*Last Name:

*First Name:

*Company:

*e-mail:

*Phone:

19 Ames Boulevard ● Hamburg , NJ 07419 ● Phone: 973-827-9101 ● Fax: 973-827-0206