H&M
Supplier
Regular Express* (40% surcharge) Shuttle* (100% surcharge)
Form No.
Same Day* (150% surcharge)
Official Use Only Rpt. No. Telephone: Fax: A/C No. Contact Person: Tel:
SERVICE REQUIRED
* Available for certain tests only
No. of Sample: Colour: Buyers Name: Care Instruction: Hennes & Maurita Test(s) Required: (Please fill in information and tick appropriate boxes) Suppliers : Manufacturers : Order No.: End Uses: Supplier / Vendor / Manufacturers Name:
Dimensional Stability To Washing Colour Fastness to Household Washing Colour Fastness to Rubbing Appearance after Wash Colour Fastness to Perspiration Colour Fastness to Water Colour Fastness to Saliva Seam Slippage Flammability (16 CFR 1610) Flammability (CFR Part 1610) Flammability (BS 5438 / 5722)
Goods To Be Exported To: EUROPE
Azo Dyes Chromium VI Detection of PVC Disperse Dyes EN71 Part 2 Formaldehyde Nickel Release Pentachlorophenol PCP Total Lead Content
Others:
(Unless specified, all tests will be conducted in accordance with the test methods / standards appropriate to the final export destination of the goods.)
Yes No Yes
We request for the above tests and agree that all testing will be carried out subject to INTERTEK TESTING SERVICES HONG KONG LTD.s scale of charges as set forth in their prevalent price list of which we have seen a copy and upon and subject to the terms and conditions set out hereon and overleaf.
Date
Notes:
1. Client should retain the DUPLICATE for own reference and present the same for collection of test report in our office. 2. Pick-up and delivery Hotline: (852) 2173 8168 / Fax No.: (852) 2743 8762 3. No comment may be given for some of the test items if related standard or specification is not available. * Please refer to INTERTEK TESTING SERVICES prevalent price list for the amount of surcharge.
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