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A quote for EMI / EMC,
Dynamic, Climatic, Hydraulic, and Pneumatic test services is
typically provided within three to five business days after receiving the
written requirements. Quote requirements may be communicated to Qualtest via
mail, fax (407-297-7376), email (sales@qualtest.com),
or through this website. To minimize delay and confusion, it is very helpful if
the following information is provided:
NOTE: If you wish to
include file attachments with this request (i.e., specifications, special
instructions, photos, drawings, etc.), there will be an opportunity after
SENDING this form. Please do not send AutoCAD drawings. |
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"*"
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Requestor
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Organization*: |
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Division: |
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Shipping address*
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City, State, Zip*
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Point of Contact |
Contact name & title *: |
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Email address*: |
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Phone number*: |
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Ext:
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Fax number: |
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General Quote Information |
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Type of quote needed : |
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Special needs : |
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NOTE: Qualtest takes
exception to providing Expanded Uncertainty, even when required by the test
standard, unless special arrangements are negotiated in advance.
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Expected date for the start of testing: |
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NOTE: Qualtest prefers to
have a purchase order at least five days prior to the start of a test to
allow for proper contract review, planning and test preparation.
NOTE: With regard to
support equipment supplied by the customer, Qualtest assumes responsibility
only for equipment needed to satisfy our contract obligations. Any
additional equipment brought by the customer is the responsibility of the
customer.
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Expected number of onsite
customer reps/witnesses: |
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Note: Qualtest offers a
customer lounge area equipped with phone, cable TV, high speed internet
access, vending machines and
free coffee. Copier and fax machines are readily available. Dial up modem
connection can be arranged.
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Test Item Identification |
Name, P/N, or Model*:
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Weight*:
Size(LxWxH)*:
Quantity*:
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Any Additional Descriptive Information
(HAZMAT, Fragility, Storage, External Ground Connections, RF Transmit
Device, End Item Platform, etc.):
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Test Requirements: |
Test Requirements*:
(Test Type, Test Spec, # Test Items, Field Levels, Modulation, etc.)
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Test Item Support Requirements |
How will the test items interface?
(Distance of cable from test item to support equipment
(6 foot minimum required)
Additional Interface Information:
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What are your
Ground Plane
Requirements?
Additional Information:
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Electrical / Mechanical needs for Test Item Operation
(power / phase / frequency; gas pressure; connectors, etc):
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Responsibility for Test Item Operation:
Additional information:
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Data Documentation Requirements: |
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Report with data
Certification without data
Raw data only
None |
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NOTE: Qualtest Reports and
Certifications attest to the compliant provision of the test environment,
but not to the pass/fail status of the test hardware unless special
arrangements are negotiated in advance.
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Data Documentation Media Preference:
Adobe PDF
MS Word (protected) |
Data Documentation Delivery Preference:
Email
CD
Hard Copy |
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NOTE: Additional charges apply for CD and Hard
Copy deliveries. |
Any special needs, comments, or concerns:
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| Quote Need /
Desired Date
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After sending the form you will
have the opportunity
to upload attachments directly to our server
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