MB 330 / Copyright 2010-2024

A. Submitter Information

Submitter Name
Submitter Title
Company Name
Company Address (street address, city, state zip code)
Email
Phone (example 999-999-9999)

B. End Customer Information
If you are requesting a color match on behalf of another party, please provide contact information for the end customer.

Contact Name
Contact Title
Company Name
Company Address (street address, city, state zip code)
Contact Email
Contact Phone (example 999-999-9999)

Please indicate whether the questions should be directed to the submitter or the end customer.
Submitter End Customer


C. Match Information

Please indicate the gel coat series in which the color should be matched.

REQUESTED PRODUCT SERIES BY MARKET CLASS
Enamel	998 POLYCOR® MC
Marble & Casting	99C POLYCOR®
Marine	953 ArmorFlex®	991 ARMORCOTE® MC	99F ARMORFLEX® (whites only)	PCT 100, PCT110 IMEDGE® (colors only)
Multipurpose	943 POLYCOR®	944 POLYCOR® 964 POLYCOR® MC	QuickMix® QuickMix® MC
Sanding	949 POLYCOR®	969 POLYCOR® MC
Sanitary	992 BathCote™ MC	99S BathCote HF™ MC
Specialty	947 POLYCOR®
Swimming Pools (see Note 2)	960 SW POLYCOR® MC	Standard Pool Colors are: 960-LK-171SW Blue, •960-WK-433SW White, 960-W-016SW White, •960-LF-214SW Light “Baby” Blue
Transportation	991 ARMORCOTE®MC	99F ARMORFLEX® (white only)

Note-1: MC—MACT Compliant
Note-2: Any other swimming pool color matches will require our pool gel coat release disclaimer signed by the customer.
Note-3: All matches will be targeted to A quality

Please indicate the end use application
Please indicate desired color name, if known
Please add any additional comments below

Sample Descriptions / Special Requirements / Specifications:

D. Match Approval

Please indicate if a physical sample is needed for match approval: Yes No

If yes please provide the contact names and addresses to which physical samples should be sent.
Include multiple contacts if needed.

Company Name
Company Name
Contact Title
Company Address (street address, city, state zip code)
Contact Email
Contact Phone
Number of Standards Needed

All color matches will ship USPS Priority, 2-3 day delivery

E. Commercial Information

Polynt Composites Account Manager if different from submitter

Anticipated Polynt plant location

Anticipated order date

Anticipated order quantity (in pounds)

Package size needed: 5 gallon pail 32 gallon drum 55 gallon drum

Anticipated order frequency (example.. weekly, monthly)

LAB USE ONLY
Project #
Assigned To
Date Received