Our headquarters are located at:
VESTA, INC.
5400 West Franklin Drive
Franklin, Wisconsin 53132
Tel: (414) 423-0550
Fax: (414) 423-0562
sales@vestainc.com

Customer Service
414-858-2115
custserv@vestainc.com

Our sales managers are:
EAST
Debra Wilcox
Raleigh, NC 27615
Cell: (919) 623-0585
Fax: (919) 846-9801
dwilcox@vestainc.com

MIDWEST
Tom Doering
Round Lake, IL 60073
Cell: (847) 846-2047
Fax: (414) 423-0562
tdoering@vestainc.com

SOUTHWEST:
TX, NM, AZ and Southern CA
Jane Leary
Rancho Santa Margarita, CA 92688
Cell: (760) 716-1207
Fax: (949) 589-6987
jleary@vestainc.com

NORTHWEST
WA, ID, MT, OR, WY, NV, UT, CO and Northern CA
Jeff Colvin
West Jordan, UT 84084
Cell: (801) 809-5064
Fax: (414) 423-0562
jcolvin@vestainc.com

Tell me more about Vesta and silicone.

Please mail the following pieces of literature:†

	Vesta Capabilities Brochure
	Vesta White Paper on Silicone Rubber
	Vesta Design Guide
	Design Support and Prototyping Data Sheet
	Component Molding Data Sheet
	Tubing & Extrusions Data Sheet
	Device Assembly Data Sheet

† You will have the option to download pdfs of our literature after submitting this form.

	Please have a Vesta salesperson call me. Best time of day to reach me Best day of the week to reach me
	Place any questions you have in the box below.

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How did you learn about Vesta? Vesta Advertisement: Or fill in appropriate field below: Article in in the issue Received a direct mailing in Web Search Other

If this is all you need…click the submit button. If not, please preceed to the questions below for giving details about your requirements.

Let's get started on my next silicone medical device project.

Let us give shape to your next project. Simply complete the following Part Profile Worksheet, or you can contact Vesta Headquarters or your local area sales manager. You may also fax or e-mail us your drawings or specifications.

PART PROFILE WORKSHEET

1. Describe the Application:

2. For quotation purposes, what quantity would you like us to use?

3. Number of samples required for prototyping?

4. Is this quotation for a new or existing part?
New Existing Redesign

5. Anticipated start date:
Current 6-12 Months Future Information Only

6. Has a manufacturing process been determined for the project?
Yes No

If Yes, does it involve any of the following:

Extrusion	Bonding
Liquid Injection Molding	Assembly
Transfer Molding	Injection Molding
Insert Molding	Other

Indicate and describe which of the following properties are critical to your design (Please complete only what you know - we will assist you with any questions you have)

7. Functional

Flash Spec
Tolerances Specs

Color
Elongation

Special Testing Requirements
X-ray Opaqued

8. Mechanical

Durometer	Tear
Reinforced	Tensile
Elongation	Other

9. What are your biocompatibility requirements?

10. What sterilization methods do you plan on using?

Autoclave Ethylene Oxide

Gamma Ray Irradiation

11. What are your electrical/chemical requirements?

12. What are your packaging requirements?

13. Other comments about your product/application

Thank you for your interest in Vesta.