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Delivering Quality - One Test At A Time
   Environmental Facility:  Phone:  407-293-5844  /  Fax:  407-297-7376 /  info@Qualtest.com
   EMI Facility:  Phone:  407-313-4230  /  Fax: 407-313-4234  /  info@Qualtest.com
   
 

Request for Quotation for EMI/EMC Testing
 
A quote for EMI / EMC test services is typically provided within 3-5 business days after receiving the written requirements.  Quote requirements may be communicated to Qualtest through this website.  To minimize delay and confusion, it is very helpful if the form below is completed entirely.

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 the form.  Please do not send AutoCAD drawings.

Requestor
Organization*:
Division:
Shipping address*:
City, State, Zip*:
   
Point of Contact
Contact name & title*:
Email address*:
Phone number*:     Ext:  
Fax number:
   
General Quote Information
Type of quote needed :  
Special needs :        
   
NOTE: Qualtest takes exception to providing Expanded Uncertainty, even when required by the test standard, unless special arrangements are negotiated in advance.
   
Expected date for the start of testing:
   
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.
   
Expected number of onsite
customer reps/witnesses:
   
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.
   
Test Item Identification
Name, P/N, or Model*:
 
Weight *: Size(LxWxH)*: Quantity*:  
 
Any Additional Descriptive Information
(HAZMAT, Fragility, Storage, External Ground Connections, RF Transmit Device, End Item Platform, etc.):
  
 
Test Requirements:
Test Requirements*:
(Test Type, Test Spec, # Test Items, Field Levels, Modulation, etc.)
 
 
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:
  
 
What are your Ground Plane Requirements?
   Additional Information:
  
 
Electrical / Mechanical needs for Test Item Operation
(power / phase / frequency; gas pressure; connectors, etc):
  
 
 
Responsibility for Test Item Operation:
    
Additional information:
  
 
Data Documentation Requirements:
Report with data    Certification without data Raw data only   None
 
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.
 
Data Documentation Media Preference:
 Adobe PDF    MS Word (protected)
 
Data Documentation Delivery Preference:
 Email    CD    Hard Copy    NOTE: Additional charges apply for CD and Hard Copy deliveries.
 
Any special needs, comments, or concerns:
 
 
Quote Need / Desired Date

After sending the form you will have the opportunity to upload attachments directly to our server