Custom Request

Please fill in the following fields as completely as possible. After filling out the form, you can submit it to us by clicking on the ‘Submit’ button at the bottom of this page. We will contact you using the information you provided as soon as we have reviewed your request. This usually takes two business days.
  • Date of request
  • Title
  • First name *
  • Last name *
  • Job title
  • Company/Institute *
  • Department
  • Address line 1 *
  • Address line 2
  • City *
  • State
  • Post code
  • Country *
  • Telephone
  • Fax
  • E-mail *

  • Application
  • Please briefly describe the application *
  • Specifications
  • Glass Type
  • Other Glass Type
  • Glass Format
  • Other Glass Format
  •  
  • Glass Dimensions:
  • Length (mm)
  • Width (mm)
  • Diameter (mm)
  •  
  • Thickness (mm)
  • Other thickness in mm (with required tolerance)
  • Please note: not all glass types are available in all the thicknesses listed.
  • Describe critical areas:
  • Critical Dimension
  • Edge finish required
  • Other edge finishing
  • Other corner finishing
  • Glass coating required
  • Other glass coating
  • Please give specific details of any additional processing steps, such as drilling (round or rectangular holes). Creation of caverns or channels:
  • Additional Processing
  • Barcode Option
  • Other Barcode Option
  • Sequenced Barcode
     Not required
     Yes:
  • Sequence required
  • Barcode color
  • Please specify size and location:
  • Barcode position
  • Logo
  • If Yes, please specify logo type, size and location:
  • Logo color
  • Well patterns printing with permanent hydrophobic ink
  • Please give dimensions and locations of the wells required:
  • Detailed specification for optical coating
  • Please note! We have a minimum order value of EUR 300 / USD 300.
  • Number of pieces required *
  • Annual Usage
  • Other Comments
  •  Send me a copy
  •  SCHOTT North America, Inc. and SCHOTT Gemtron Corporation may send me e-mails containing information on special glass and glass ceramics products. I have the possibility to revoke this consent by using the cancel link in every e-mail.
  • Security check *
  • * = Mandatory entry

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Exhibitions & Events
12.
December
Exhibition International MicroNano Conference 2017, Amsterdam, Netherlands, 12-12 to 12-13-2017
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