IML Questionnaire Date Name First Last CompanyAddress 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 DarrussalamBulgariaBurkina 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 questionnaireWho Are Key Chain Supply Partners?PrinterMolderBrand OwnerWhat is the description of the project? Please provide as much information possible.What is the IML method?*Blow MoldingInjection MoldingInjection Stretch Blow MoldingThermoformingTBDOtherTestIf Other please specifyWhat type of container / part?*BottlesTubsPartsTBDOtherIf Other please specifyWhat type of resin will be used for the container / part?*High Density Polyethylene (HDPE)Polypropylene (PP)Polyester (PET)TBDOtherIf Other please specifyWhat 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)OtherIf Other please specifyWhat type of IML substrate are you interested in?*Opaque - orange peel effect (standard)Opaque - no orange peel effectClearTBDOtherIf Other please specifyIs the molder presently equipped to place labels automatically into the mold?*YesNoTBDWhat pinning method is the molder using?*VacuumDirect - end of arm toolIndirect - curtain of ionizationOtherIf Other please specifyWhat is the print process for this project?*Conventional OffsetUV OffsetFlexographicGravureDigital - HP IndigoDigital - OtherTBDOtherIf Other please specifyWhat is the Market segment?*Consumer Packaging GoodsDurable GoodsTBDOtherIf Other please specifyWhat is the classification of this project?*First IML project for printer or molderNew IML project printer & molderCompetitive alternative to existing product / supply chainOtherIf Other please specifyWhat is volume of labels per year?*Less than 1 million1 - 5 million5 million +TBDWhat is the expected time frame for this project to go commercial?*Within 6 months6 months to 1 year1-2 yearsTBDAdditional Comments
