上海天祥质量技术服务有限公司-intertek.doc

Juvenile Products Test Requisition Form 婴幼儿产品测试申请表 Form No.: Applicant Name (单位英文名称) Official Use Only 申请单位中文名称 : _______________________________________________________________________ Rpt. No.: Address (单位英文地址): _______________________________________________ 申请单位中文地址: ____________________________________________________________________ Deposit : Contact Person 联系人: ______________ Telephone 电话_______________________ Fax 传真: ____________ 邮编: ________ Email Address 电子邮件 : Company Name Address shown on Test Report (if different from the Applicant Name Above): 测试报告上所注明的单位名称及地址 (如果与以上申请单位不符): ____________________________________________________ Payer Name (付款单位): ( Same as Applicant (同申请公司) ( 不同，请注明__________________________________________________ Address (地址): ______________________________________________________________ Department 部门: __________ Contact Person: _________________ Telephone 电话: ______________________ Fax 传真: __________ 邮编: __________ Report Delivered To: ( Applicant ( Payer Invoice Delivered To: ( Applicant ( Payer 报告原件寄至 上述申请公司 上述付款公司 发票寄至 上述申请公司 上述付款公司 Sample Description样品描述 ( Item / ( Article / ( Model / ( Style No.式样编号 No. of Sample Submitted样品数 Buyer’s Name买家名称:_____________________ P.O. No.:_________________________ ( Supplier / ( Vendor / ( Manufacturer 供应商/贸易商/生产商:________________________________________________________ Goods Exported to产品运往: ( Europe ( U.S.A. ( Country of Origin原产地: ( China ( d Tests Required: (Please tick appropriate boxes) 测试要求(请在 ( 内打上钩) ( EN 716 Domestic Children’s Cots and Folding Cots 童床 ( EN 747: Domestic Bunk beds双层床 ( EN 1130：Cribs and Cradles婴儿摇篮/摇篮床 ( EN 1273:Baby Walking Frames儿童学步车 ( EN 1466:儿童移动睡床Carry Cots and Stands ( EN 18