Sample Request Form To help us ensure the quickest delivery time for your samples, please complete all information on this form. Liquid Samples: Please submit all liquid sample requests via email to [email protected] Printed Samples: Please submit all printed sample requests to be coated directly to: Drytac Europe Ltd., Filwood Road, Fishponds, Bristol, BS16 3RY England. Please complete the return address below: Your Company Name: For the Attention of: Company Address: Postcode: Country: Date: Liquid Samples Please tick which you require Liquids for XL Machines ICUVFX2-1G INSTACURE FLEXI II GLOSS ICUVVG-1G INSTACURE VARIABLE GLOSS ICUVUM-1G INSTACURE ULTRAMATT ICUVPOP-1G INSTACURE POP Drytac Europe Limited, Filwood Road, Fishponds, Bristol BS16 3RY UK Email: [email protected] Tel: 0845 070 0660 / +44 (0) 117 958 6500 Fax: 0845 07 0661 / +44 (0) 117 695 4411 www.drytac.co.uk Liquids for UV Versacoaters (PhotoMate, DocuMate & XL) ICUVVCPG-1G ICUVCCPL-1G ICUVVCPM-1G ICUVVCDG-1G ICUVVCDM-1G Please tick which you require INSTACURE PHOTO GLOSS (signable) INSTACURE PHOTO LUSTRE INSTACURE PHOTO SEMI MATT (signable) INSTACURE DIGITAL GLOSS INSTACURE DIGITAL SEMI MATTE Liquids for Aqueous coaters (Photocoater & AFC) ECWBG2-1G ECWBG2S-1G ECWBSBG-1G ECWBUFG-1G ECWBUFM-1G ECWBUSR-1G ECWBUM-1G ECWBPG-1G ECWBPL-1G ECWBPM-1G Please tick which you require ENDURACOAT GICLEE GLOSS ENDURACOAT GICLEE SATIN ENDURACOAT SIGN AND BANNER GLOSS ENDURACOAT ULTRAFLEX GLOSS ENDURACOAT ULTRAFLEX MATT ENDURACOAT ULTRA STAIN RESIST ENDURACOAT ULTRAMURAL ENDURACOAT PHOTO GLOSS (PhotoCoater Only) ENDURACOAT PHOTO LUSTRE (PhotoCoater Only) ENDURACOAT PHOTO MATT (PhotoCoater Only) Printed Samples Please send a minimum of 12 uncoated sample prints of each type of media/toner combination to be coated. If a combination of finishes is required, please indicate the number of prints for each finish Name of Your Printer: Printer Model #: Name of Media: Would you like to coat all prints the same? Yes No Drytac Europe Limited, Filwood Road, Fishponds, Bristol BS16 3RY UK Email: [email protected] Tel: 0845 070 0660 / +44 (0) 117 958 6500 Fax: 0845 07 0661 / +44 (0) 117 695 4411 www.drytac.co.uk Please choose the coating you require: VersaCoater Machine: Documate Liquid: INSTACURE PHOTO GLOSS INSTACURE PHOTO LUSTRE INSTACURE PHOTO SEMI MATTE INSTACURE DIGITAL MATTE INSTACURE DIGITAL GLOSS INSTACURE PHOTO SEMI MATTE INSTACURE DIGITAL MATTE INSTACURE DIGITAL GLOSS Machine: Photomate Liquid: INSTACURE PHOTO GLOSS INSTACURE PHOTO LUSTRE Roller: Smooth Crystal Leather Linen Canvas Machine: XL Liquid: INSTACURE FLEXI II GLOSS INSTACURE VARIABLE GLOSS ULTRAMATT INSTACURE POP INSTACURE Aqueous Coaters Machine: PhotoCoater Liquid: ENDURACOAT PHOTO GLOSS MATT ENDURACOAT PHOTO LUSTRE ENDURACOAT PHOTO SEMI Machine: AFC (Material must be supplied on the roll) Liquid: ENDURACOAT GICLEE GLOSS ENDURACOAT GICLEE SATIN ENDURACOAT SIGN AND BANNER GLOSS ENDURACOAT ULTRAFLEX GLOSS ENDURACOAT ULTRAFLEX MATTE ENDURACOAT ULTRA STAIN RESIST ENDURACOAT ULTRAMURAL ENDURACOAT PHOTO GLOSS ENDURACOAT PHOTO LUSTRE ENDURACOAT PHOTO SEMI MATT Drytac Office Use Only: Date Received: Date Coated: Machine Operator: Date Sent Out & Tracking No. Drytac Europe Limited, Filwood Road, Fishponds, Bristol BS16 3RY UK Email: [email protected] Tel: 0845 070 0660 / +44 (0) 117 958 6500 Fax: 0845 07 0661 / +44 (0) 117 695 4411 www.drytac.co.uk