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。）
|
*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） |
|
|
|
*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。） |
(mm/dd/yyyy) （月/日/年） |
*Product Class:
产品类型 |
|
*Vendor Name:
品牌名 |
|
*Model Name:
产品名 |
|
*Model Number:
型号 |
|
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
|
Original Order #:
(is required if this is a resubmission)
原始编号#
（若为重测，此空格为必填项） |
|
|
|
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 $200.00USD disposal fee for (Sink, Source, Dongle) and $50.00USD 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，Dongle，将要收取$200的处理费，缆线收取$50
|
*Preferred Method of Shipment:
期望运输方式 |
|
*
Preferred Carrier:
期望货运商 |
|
*
Carrier Account Number:
货运帐号 |
|
*
Declared value for return shipment:
返还样机申报价值 |
|
ECCN/HTS codes:
(for International shipments)
ECCN /HTS 代码
（国际运输需要） |
|
*
Contact Name:
联系人 |
|
*
Company Name:
公司名称 |
|
*
Company Address:
公司地址 |
|
Contact Email:
联系邮箱 |
|
*
Contact Phone:
联系电话 |
|
