Please send your samples to:

Paragon Laser Systems
3700 Oakes Drive
Emporia, KS 66801
866-495-1150
FAX 620-342-2419

The following questions will help us assist you with your laser marking application.
Please include as much information as possible when sending samples.

Also, please include as many as possible so that we may test your material sufficiently.
If you have any questions while completing the Laser Requirements Planning form,
call the Toll Free number and let us help you.

Paragon Laser Requirement Planning Sheet - Download PDF format here


Co Name__________________________________________________________________________________


Contact Name______________________________________________________________________________


Address___________________________________________________________________________________


City___________________________________State____________ZIP__________________


Telephone______________________________FAX_________________________________


E-Mail___________________________________Other decision makers_____________________________


Material to be Marked______________________________________________________________________


Range of parts____________________________________Sizes___________________________________


Throughput (production) requirement_______________________per_____________________


Mark specification (attach drawings/graphics files as required)_________________________


Mark content_________________________________________________Human/Machine Readable


Contrast requirements_______________________________________________________________________


Reading equipment/conditions________________________________________________________________


Part configuration (marking area)______________________________________________________________


Surface finish (rms)_______________________________________________________


Permanence requirements_____________________________________________________________________


Stand alone________________Portable___________________Integrated installation_____________________


Standard machine_______________________Custom machine___________________


Level of automation required_________________________________________________________________

_________________________________________________________________________________________


Project Schedule_____________Decision_______________Delivery_____________Budget_______________


Sample schedule____________________________________Qty supplied________________

Benchmark Retention OK’d _________________ 10+recommended

Additional comments: