HDMI Adopter Name:
HDMI 采纳者公司名称 |
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HDMI Adopter's Contact Email:
HDMI 采纳者电子邮箱 |
Please enter a valid email address for the adopter (with no spaces at the beginning or ending of the address).
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Note: If you are an ODM please enter your adopter's name and contact email address before placing an order.
注意：若你们是ODM厂商且本身不是采纳者，请在下订单时填写采纳者名称和联系邮箱
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Bill To
发票邮寄至
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*Company Name:
公司名称 |
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*Company Address:
公司地址 |
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Company Address 2:
公司地址 二 |
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Company Address 3:
公司地址 三 |
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Company Address 4:
公司地址 四 |
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*Company City:
公司所在地城市名称 |
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*Company Postal Code:
公司所在地邮政编码 |
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*Company State/Province:
公司所在地省份 |
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*Company Country:
公司所在地国家 |
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*Contact Name:
联系人 |
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*
Email:
邮箱 |
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*
Phone Number:
电话 |
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Primary Contact
(If different from above fill in below contact info.)
第一联系人
（若与以上信息不同，请再填写一次。）
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Contact Name:
联系人 |
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Contact Email:
联系邮箱 |
Please enter a valid Primary Contact email address (with no spaces at the beginning or ending of the address).
请输入一个有效的第一联系邮箱地址（请勿在邮箱地址的前后留有空格。）
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Contact Phone:
联系电话 |
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Product Details
(Required if ordering product testing at this time.)
产品详情
（若申请测试，此为必填信息。）
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*Test Center Location:
(Pick the test center where you will submit your device.)
授权测试中心
（选择您将送测的授权测试中心） |
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|
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*Planned ship date:
(Approximate date you plan to ship the device to the test center.)
计划送样日期
（贵司计划将样机送至测试中心的大概日期。） |
Please note: HDMI “Alt mode” USB Type-C testing is performed at the SHANGHAI ATC & UHDA ULTRAHD PREMIUM testing in performed at the SHENZHEN ATC. A quote will be provided after your DUT testing configuration
has been submitted.
(mm/dd/yyyy) （月/日/年） |
*Product Class:
产品类型 |
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*Vendor Name:
品牌名 |
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*Model Name:
产品名 |
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*Model Number:
型号 |
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Product Testing Resubmission?
(Check if this is a resubmission and provide the original order# in the next box.)
产品是否为重测？
（请确认，若为重测，请在以下空格填写原来的编号。）
Resubmission.
重测
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Original Order #:
(is required if this is a resubmission)
原始编号#
（若为重测，此空格为必填项） |
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Connectors (1.4) Qty数量
Connectors (CAT3) 2.1 Qty数量
2.1 CAT 3 Cable Compliance Testing Qty数量
Premium Cable Compliance Testing Qty数量
UHDA ULTRA HD Premium Qty数量
HDMI ATC Certificate TestingHDMI ATC 认证测试 Qty数量
Optional Items Qty数量
Quantity (Qty) must be a number.
Quantity (Qty) must be a number greater than zero.
Pre-Test Service
Note: Select to request a quote
Quantity (Qty) must be a number.
Quantity (Qty) must be a number greater than zero.
Expedite Testing Service
Note: Select to request a quote
Consulting咨询 Qty数量
Quantity (Qty) must be a number.
Quantity (Qty) must be a number greater than zero.
Simplay Consulting
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Return Ship To
样机返还至
Note: Manufacturer is required to provide a Return Waybill Shipment Label at the time of submission. If a Return Waybill Shipment Label is not provided at the time of submission, a $500.00USD disposal fee for (Sink, Source, Repeaters) and $100.00USD for
(Cables) will be charged to the order.
注意：生产商在申请测试时需提供一张样机返还运单表。若没有提供此类表格，对于接收装置，来源装置，中继装置，将要多收取$500,00的处理费。缆线则收取$100，00.
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*Preferred Method of Shipment:
期望运输方式 |
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*
Preferred Carrier:
期望货运商 |
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*
Carrier Account Number:
货运帐号 |
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*
Declared value for return shipment:
返还样机申报价值 |
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ECCN/HTS codes:
(for International shipments)
ECCN /HTS 代码
（国际运输需要） |
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*
Contact Name:
联系人 |
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*
Company Name:
公司名称 |
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*
Company Address:
公司地址 |
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Contact Email:
联系邮箱 |
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*
Contact Phone:
联系电话 |
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