Laboratory Testing Services Quotation Request

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Laboratory Testing Services Quotation Request

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Use the form below to request an estimate for laboratory testing or analysis.
Even if you haven't decided on specific test conditions, ESPEC staff can contact you if you can provide us with information such as the test objective.

Fill out the required fields, and send the form.

* ESPEC may email you to confirm the request information or inquiry particulars sent in the form below.
* Fields marked 'required' must be filled out.
* Do not enter any platform-specific characters in fields.

Handling of personal information

Personal information entered in the form below may be used to contact you about details.
Use of the form requires consent to ESPEC's personal information handling methods (privacy policy).
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Your contact information

Name (Required)
Company/organization (Required)
Department
Job title
Country (Required)
Zip code (Required)
Address (Required)
e-mail address (Required)
e-mail address (for confirmation) (Required)
Phone number (Required)

Test information

Test type	Cold test/dry heat test/damp heat test Temperature (humidity) cycle test HAST (Highly Accelerated Stress Test) Gas corrosion test/saltwater spray test Air to air thermal shock test Liquid to liquid thermal shock test Vibration test/shock test/drop test Other test
Test name
Test objective	Reliability evaluation required due to design/material change Repeatability test required due to failure in market R&D evaluation Testing requested by client Other
Desired testing schedule	(Month) (Day) to (Month) (Day)

Specimen information

Specimen name
Size	Width Height Depth (mm)
Weight	kg/sample
Quantity (number of samples)
Delivery date	(Month) (Day) If sending specimens, enter the shipping company name and expected shipment date in the precautions field below.
Specimen precautions

Test conditions

Conditions to set	Enter the test time (cycle time), the test conditions (such as temperature, humidity and pressure), and any other conditions needed.
Extraction of specimens before end of test	No Yes (Time extracted, and procedure performed)
Specimen temperature measurement	No Yes (Temperature measurement method)
Apply current to specimen/perform measurement	No Yes (Method of applying current)
Work to be outsourced to test facility exists	No Yes (Description of work)
Specimen placement method	Not specified Specified (Method of placing specimens)
Test observation by client	We will not observe the test We will observe the start of the test We will observe the test at another point in time We will observe the test at the start and at another point in time (Description of procedures to perform during observation and requests to test facility)
Attached files

Other

Documents to be submitted	None additional Test report (ESPEC form) Photos (up to three) of specimens in test position Temperature (humidity) record (paper chart or CD-ROM) Additional document (Description of additional document)
Specification of test facility performing test	Not specified Specified (Specified test facility and reason)
Inquiry particulars
Reason for contacting ESPEC	I want to place an order right away after checking the cost. I'm planning to use an ESPEC product/service in the near future. I'm considering using an ESPEC product/service in future. I want to learn about ESPEC from a brochure. I want to connect with a related department. I just want information. Other
Information from ESPEC	Would you like to receive various information from ESPEC in future? Yes No

I agree to the Privacy Policy and Using our Website . (Required)

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