Product Experience Application

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Product Experience

Your draft application has been saved.
(Access drafts on the main page under 'RECENT APPLICATIONS')

Step 1

Complete the application

Step 2

Print Form

Step 3

Include printout with sample

Complete a separate testing application form for each sample or style/gender submitted. Please include any supporting documentation such as lead test results, UL / CSA certification documents, etc. along with the sample or upload the files at the bottom of this form. Attach one copy of this print out to the sample.

1

CUSTOMER INFORMATION

* Indicates required field

Company:

Completing an Autofill profile here will save time by filling many fields for you.

Customer Name

Client / Retailer Name

Contact Name

Email Address

2

PROJECT DETAILS

Product Description

Scope of Work Details

Product Category

Model Name/Number

Factory Name

Country of Origin Intended Use

Factory Address

3

BOOKING DETAILS The lab will confirm the scheduled date/time of the session via email, once the quotation is accepted.

Please select one of the following session packages:

Level 1 (no video)

Level 2 (video, excludes livestream)

Level 3 (video, includes livestream)

Do you (or any of your colleagues) plan to attend this session in person? Yes No Number of attendees

Number of participants requested per session?
How many participants would you like to evaluate your product?

Number of participants

Share results with Retailer/Third Party? Yes No

Retailer/Third Party Contact Address

4

CONTACT

Separate multiple addresses with comma (,)
CLOSE

Sample Received Notification

Separate multiple addresses with comma (,)
CLOSE

Send Report To

5

BILLING INFORMATION

Request Quotation

Would you like a quote before testing begins?

Yes No

Company Name

Attention

Billing Address

Separate multiple addresses with comma (,)
CLOSE

Email Address

Phone

City / State / Zip

File Upload Help

Acceptable formats for file uploads:

DOC: Microsoft Word (97-2010)
DOCX: Microsoft Word 2013
GIF: Graphics Interchange Format
JPG, JPEG: Joint Photographic Experts Group JFIF format
ODT: OpenDocument Text Document
ODP: OpenDocument Presentation File
ODS: OpenDocument Spreadsheet
PDF: Portable Document Format
PNG: Portable Network Graphics Format
PPT: Microsoft PowerPoint
PPTX: Microsoft PowerPoint 2007 XML
TIF, TIFF: Tagged Image File Format
TXT: Raw text file
XLS: Microsoft Excel Spreadsheet
XLSX: Microsoft Excel Open XML Spreadsheet (Microsoft Excel 2007)

Batch file upload limit: 20.
Files cannot be larger than 10MB. If you need to send a file larger than that, please contact Customer Relations.

6

COMMENTS / INSTRUCTIONS

Choose sample disposal method:

(*Samples must be picked up no more than two days after the testing report is released. Failure to arrange sample pick up will result in sample disposal.)

Pick up OR Disposal

Comments

* Attach Soft Copy of Instructions/User Manual

I agree to all Terms & Conditions

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