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Application advice (the following information is required): Data/structural dimension (Gerber/dxf) Desired wet layer strength Quotation requested ORDER FORM FOR PRECISION SCREENS Phone: +49 89 66 56 18 - 0, Fax: +49 89 66 56 18 - 330, E-Mail: [email protected] Orderer Company: Order number: Delivery details In-house delivery Express service (on request only) Only in connection with frame store/screen store + slide on site, depending on order quantity/subject to agreement Layout positioning details acc. to: Print Fiducials Substrate contour Centrally: Long side of layout - on long side of frame Short side of layout - on long side of frame Positioning instruction attached Covering details Details on slide(s)/data Fiducials: Cover Slide(s) to be supplied Quantity Frame type / outside dimension size (mm) Fabric type Mesh Wire Ø (μm) T* KAL* HF* Covering angle (°) Covering type Film thickness (μm) Emulsion EOM (μm) W* g* FO* Slide designation Slide in archive Slide(s) to be returned Preparation based on data Leave open White Preparation based on drawing number: Data transfer: By e-mail ([email protected]) By upload via Internet File name: *T (trampoline), *KAL (calendered), *HF (high strength), *W (waterproof), g* (hardened), FO* (functional surface coating), EOM = Emulsion Over Mesh Contact person: Date Time Details on frame/screen New frame From frame store Frame to be supplied Substrate contour: Cover Leave open White Marking: Cover Leave open White Barcode/DMC: Phone: E-Mail: Repeat order (Koenen Order No.): Page 1/2 Order Form for Precision Screens / Version 09-2018

ORDER FORM FOR PRECISION SCREENS - KOENEN

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Page 1: ORDER FORM FOR PRECISION SCREENS - KOENEN

Application advice (the following information is required):

Data/structural dimension (Gerber/dxf) Desired wet layer strength Quotation requested

ORDER FORM FOR PRECISION SCREENSPhone: +49 89 66 56 18 - 0, Fax: +49 89 66 56 18 - 330, E-Mail: [email protected]

Orderer

Company: Order number:

Delivery details

In-house delivery Express service (on request only)Only in connection with frame store/screen store + slide on site, depending on order quantity/subject to agreement

Layout positioning details

acc. to: Print Fiducials Substrate contour

Centrally: Long side of layout - on long side of frame

Short side of layout - on long side of frame

Positioning instruction attached

Covering details

Details on slide(s)/data

Fiducials: Cover

Slide(s) to be supplied

Quantity Frame type / outside dimension

size (mm)

Fabric type Mesh Wire Ø

(μm)

T* KAL* HF* Covering angle(°)

Covering type Film thickness

(μm)

EmulsionEOM (μm)

W* g* FO* Slide designation Slide in archive

Slide(s) to be returned

Preparation based on data

Leave open White

Preparation based on drawing number:

Data transfer: By e-mail ([email protected]) By upload via Internet

File name:

*T (trampoline), *KAL (calendered), *HF (high strength), *W (waterproof),

g* (hardened), FO* (functional surface coating), EOM = Emulsion Over Mesh

Contact person:

Date Time

Details on frame/screen

New frame From frame store Frame to be supplied

Substrate contour: CoverLeave open White

Marking: CoverLeave open White

Barcode/DMC:

Phone: E-Mail: Repeat order (Koenen Order No.):

Page 1/2Order Form for Precision Screens / Version 09-2018

Page 2: ORDER FORM FOR PRECISION SCREENS - KOENEN

Please check the respective box to confirm you are happy to receive promotional information via the channels listed below. If you do not wish to give your consent, please leave the box blank. It is completely up to you whether or not you choose to give your consent in line with this statement. You will not suffer any disadvantages if you choose not to give your consent in full or in part, however this will mean that we will not be able to keep you informed to the extent described.

I hereby give my consent for Christian Koenen GmbH and affiliates KOENEN GmbH and Christian Koenen Kft. to process the personal data provided by me in order to keep me updated by ¨ phone

¨ email

¨ text message ¨ fax

about the latest product developments in the field of precision stencils and screens for technical printing, technological innovations, interesting services or company events such as trade fairs and technology days and/or to provide advice on the same (legal basis: Article 6 (1) a) and Article 7 of the General Data Protection Regulation).

WITHDRAWING CONSENT / REQUESTING AMENDMENTS TO CONSENT

I have the right to withdraw my consent given to Christian Koenen GmbH and subsidiaries KOENEN GmbH and Christian Koenen Kft. at any time – also in part – with future effect, e.g. by phone, in writing, by fax or by email (see contact information below).

Should I decide to withdraw my consent, my personal data will no longer be used or processed and will instead be deleted, provi-ded there are no legal provisions that allow the further processing and use of this data or that prevent the data from being deleted.

For further information, please see our Data Protection Statement at www.ck.de.

¨ I agree ¨ I do not agree

CONSENT TO RECEIVE PROMOTIONAL INFORMATION

KOENEN GmbH Otto-Hahn-Straße 2485521 Ottobrunn-RiemerlingGermany

Phone: +49 89 66 56 18 - 0Fax: +49 89 66 56 18 - 330E-Mail: [email protected]: www.koenen.de Page 2/2Order Form for Precision Screens