IML Questionnaire Date MM slash DD slash YYYY Name* First Last Company Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Preferred PhoneWho referred you to this questionnaire Who Are Key Chain Supply Partners?Printer Molder Brand Owner What is the description of the project? Please provide as much information possible.What is the IML method?* Blow Molding Injection Molding Injection Stretch Blow Molding Thermoforming TBD Other Test If Other please specify What type of container / part?* Bottles Tubs Parts TBD Other If Other please specify What type of resin will be used for the container / part?* High Density Polyethylene (HDPE) Polypropylene (PP) Polyester (PET) TBD Other If Other please specify What is the size of the label?* Small (<10 sq in) Medium (10-25 sq in) Large (25-40 sq in) Extra Large (40+ sq in) Other If Other please specify What type of IML substrate are you interested in?* Opaque - orange peel effect (standard) Opaque - no orange peel effect Clear TBD Other If Other please specify Is the molder presently equipped to place labels automatically into the mold?* Yes No TBD What pinning method is the molder using?* Vacuum Direct - end of arm tool Indirect - curtain of ionization Other If Other please specify What is the print process for this project?* Conventional Offset UV Offset Flexographic Gravure Digital - HP Indigo Digital - Other TBD Other If Other please specify What is the Market segment?* Consumer Packaging Goods Durable Goods TBD Other If Other please specify What is the classification of this project?* First IML project for printer or molder New IML project printer & molder Competitive alternative to existing product / supply chain Other If Other please specify What is volume of labels per year?* Less than 1 million 1 - 5 million 5 million + TBD What is the expected time frame for this project to go commercial?* Within 6 months 6 months to 1 year 1-2 years TBD Additional Comments
