Sales Inquiry Form 


Specialty Phosgene Derivative Inquiry Form

SPD is pleased to offer you superior service. Please complete this form so we may better serve you. We will review your request and contact you directly or via email within once business week. Please remember that the more detailed information you provide, the more accurate our response will be.

* Name:
* Title:
* Company:
* Address:
* City:
* State:
* Postal Code:
* Country:
* Phone:
* Email:
*Required fields

Product Information

     Chemical name:
     Trade name:
     CAS number:

     Chemical Structure:
     Click the BLUE BUTTON below if you want to draw a molecule to add to your inquiry.
     Once you're finished, close the tool window and click CONVERT DRAWING.
     Your drawing will be converted to numbers and letters in the below window.
     For drawing instructions Click Here. (This tool requires a Java enabled browser.)


     Click "CONVERT DRAWING" to enter Molfile:

Business / Commercial information

     End Use / Market:

     Volume requirement (kg):

          currently purchase from an outside vendor
          currently manufacture "in-house"
          do not currently purchase from an outside vendor

Technical information

     Please describe the chemistry process required

     Please describe the technical package that is required

     What EHS information is available?

     Please provide any regulatory requirements?

     What are your raw material requirements?

     All information submitted is non-confidential