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: