Colour Index International 4th Edition On-line Product Registration form for Pigments and Solvent Dyes - Products not already registered in the Colour Index™

If the product you wish to register does not already exist in the Colour Index™ under some other designation, either your commercial name or the commercial name of another manufacturer, please use this form.

* indicates an essential field which must be filled in

*Your commercial name …………………………………………………………………………………………….

(We need you to show the chemical structure in the box below):

NB If this is a new and unique colorant, please tick the box opposite if you wish the structure above to be kept confidential. If this box is not ticked, the structure may be published

Pickwick Mills, Huddersfield Road, incorporating… Thongsbridge, , West , HD9 3JL Tel: 01274 750160 [email protected] www.sdcenterprises.co.uk Company registration number 4309966 Registered in

*Application Class (see notes)……………………………………………………………………

*Chemical Class (see notes)………………………………………………………………………

*Physical Form (see notes) ………………………………………………………………………

*Shade (see notes)………………………………………………………………………………………

Sample of pigment or solvent dye

A sample of dyed fabric (minimum 3cm x 9 cm) to be attached in above box

Name of substrate coloured above ……………………………………… *Main application (see notes) …………………………………………………. *Substrate (see notes) ……………………………………………………………… *End Uses (see notes) ………………………………………………………………… *Discoverer (if known, can be a company name)………………………………………………… *CAS Number ……………………………………………………… *EC Number……………………………………………………………

Pickwick Mills, Huddersfield Road, incorporating… Thongsbridge, Holmfirth, , HD9 3JL Tel: 01274 750160 [email protected] www.sdcenterprises.co.uk Company registration number 4309966 Registered in England

Uses and comments

Company affiliations (see notes)……………………………………………….

Important Note: Colorant classification is undertaken based on information supplied by registrants and the knowledge available at the time a new C.I. Generic Name or C.I. Constitution Number is created.

The C.I. Generic Name defines the essential colorant only. Commercial products listed under the same C.I. Generic Name may not have identical application, fastness or ecological properties; check with the supplier concerned.

Copyright © 2013 Society of Dyers and Colourists. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means without the prior permission of the copyright owners.

Pickwick Mills, Huddersfield Road, incorporating… Thongsbridge, Holmfirth, West Yorkshire, HD9 3JL Tel: 01274 750160 [email protected] www.sdcenterprises.co.uk Company registration number 4309966 Registered in England

Declaration

I certify that the information provided here refers to the product manufactured by ourselves or is retailed by us with the knowledge of the manufacturer. Signed…………………………………………Name (printed) …………………………………… Company……………………………………… Address

Phone…………………………………………… Email……………………………………………. Website…………………………………………

Contact details for Colour Index Web Site Please provide both a research contact name and a commercial contact name for use on the website Research contact name ……………………………………………………. Research contact details (e-mail) ……………………………………. Commercial contact name ………………………………………………… Commercial contact details (e-mail) …………………………………

Return to The completed, signed original application form should be posted to the Society of Dyers and Colourists at this address. You may also email a pdf scan to [email protected] of the completed, signed application form BUT the original will be required before registration can be completed.

Pickwick Mills, Huddersfield Road, incorporating… Thongsbridge, Holmfirth, West Yorkshire, HD9 3JL Tel: 01274 750160 [email protected] www.sdcenterprises.co.uk Company registration number 4309966 Registered in England