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* Date
* First Name		* Last Name
* Company
* Company Address
* City		* State/Region
* Mailing Code/Zip		* Country
* Phone		Fax
* E-mail
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Color needed (final hue)
Background color (starting hue)
Type of product to be colored
How will consumer use it?
Can you supply a color target? (click "yes" to utilize our color selection wheel)	Yes  No
Can you supply an uncolored product sample?	Yes  No

 

Product attributes (select characteristics for each attribute): If you are unclear about a particular attribute, please click on for comments and suggestions
Form is:	Liquid  Powder
Product:	Aqueous  Oil-based  Emulsion
pH:	Precise value, if known, or a range; otherwise please provide us with a best guess below   Acid  Neutral  Basic
Process:	Frozen Baked  Pasteurized  Ambient Fried  Extruded  If heated, what is: Time: Temperature:
Package:	Clear  Opaque
Distribution:	Frozen  Refrigerate  Ambient
Shelf Life:	< 6 mos.  1 year  > 1 year
Kosher:	Yes  No
Halal:	Yes  No
Special Notes:
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