Belton Industries' most enduring strength is our ability to design fabrics to meet our customers' specialized requirements. Below, you'll see a comprehensive form that allows you to let us know your special needs. Whether you know all the information on the form or simply that you need some help, please fill out what you can and submit your request. We'll help you. Or call us at 1-800-845-8753.
 

Please provide us with your specifications below:
 
Contact Name: Company:
 
Address:
 
Country: Telephone:
 
>Fax: >Email:
 
Do you have a sample
of the product required?		 Product Application/Description:
Yes    No
 
What is the target price needed for the product being 
considered?		 Estimated Annual Volume
 
Yarn and Fabric Characteristics
(Please specify unit of measure when completing the section
ie. SI or Metric)
 
>Fiber or Yarn Type(WARP) >Fabric or Yarn Type(WEFT)
 
>WARP Denier: >WEFT Denier:
 
No. of WARP Yarns per inch: No. of WEFT Yarns per inch:
 
Fabric Weight: Fabric Width:
 
Type of Fabric Weave: Fabric Color:
 
Selvage Type: Special Fabric identification
requirements
 
Flame retardancy required? If flame retardancy required, please provide test method  
requirements for flammability
Yes    No
 
Ultraviolet light resistance? If U.V. resistance is required,
 what is the %retention needed 
and for hour many hours
of exposure?
  Yes    No
 
What is the light source for U. V. testing?

 
Physical Characteristics/Properties
(Please specify unit of measure when completing this section.  Also if the test
method is other than ASTM, please specify.)
 
Warp Tensile (lbs.): Filling Tensile (lbs.):
 
Mullen Burst (psi): Puncture Resistance (lbs.):
 
WARP Trap Tear (lbs.): WEFT or Filling Trap Tear (lbs.):
 
Permitivity (sec): Apparent Opening Size (mm):
 
Water Flow Rate (gpm/ft²): Permeability (cm/sec):
 
Abrasion Resistance Test Requirements Special Conditions or Specifications:

 
Coating/Finishing/Packaging:
 
Coating/Finishing Required Special Packaging Required:
 
Linear Yards/Roll: Finished Width:
 
Printing Requirements: Allowed Width Variation for 
finished fabric +/- (in. or mm):
 
Tube/Core Sizes & Type Req'd Are seams or splices allowed
within the finished roll of fabric?
Yes    No

Additional Comments: