Equipment Evaluation

        
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How did you hear about HERNON ?

Please fill out this worksheet as completely
as possible, in order for us to properly
evaluate your application.
1) ADHESIVE/SEALANT
A. We are dispensing: 
  
B. Is this a one or two component
       Adhesive/Sealant?  one two
C. Viscosity: Part A  
              Part B 
D.  Check here for Hernon's 
      Adhesive recommendation
2) DISPENSING NEEDS
A. Dots - Approx. Size:  
   # of Dots per part: 
B. Beads - Approx Size: 
   # of Beads per part: 
C. Filling - Approx. Volume: 
D. Other 
3) PRODUCTION RATE
A. Number of parts per hour:
B. Number of dispensing hours per day:
C. Number of dispensing stations needed: 
D. Number of operators available per station:
4) PROCESS NEEDS - Check one or more choices
A.  We need hand held dispensing equipment
B.  We need semi-automatic dispensing equipment
C.  We need automatic dispensing equipment
5) CURRENT METHODS - Check one or more choices
		We now use:
 Hand Syringes		 Squeeze tubes, bottles
 Dispenser-type, describe:
 Other, describe: 
6) WHAT WE WOULD LIKE TO ACCOMPLISH
	Please check all that apply:
 Reduce adhesive use	 Get closer tolerance deposits
 Increase output	 Make the job easier
 Reduce operator fatigue
 Avoid open containers / dermatitis problems
 Do a better job
 Reduce rejects
Other requests: 

 
After filling out all fields in this form,
please click "submit" button to send it to us.
To clear all fields, click on "reset".
You can expect a response in 24 - 48 hours.