Anatomy (Components Analysis) Service Application Form

SKYTE offer Form No. ：

Applicant Name: / Skyte Contact:
Tel:
Address:
Invoice Name:
Invoice Address: / As above Other:
As above Other:
Report Address: / As above Other:
Contact person: / Tel: / Fax:
Mobile: / Email: / Code:
Sample information（below with * must be filled）
*Sample Name / Model /Style / *Condition / *Danger / *Store situation / Component/
Contain/Purposes
Paste
Emulsion
powder
viscous material
Liquid
Other: / No
Unknow
Dangerous:
Flammable and explosive
Radioactivity
Corrosiveness
Toxicity
Other: / Normal temperature
Lucifugal
Low temperature (℃)
Other:
Service Type / Charge standard / Advance payment
A / Ordinary materialcomponent analysis
（semi-quantitative interpretation result) / First item cost RMB2000,additionally charge RMB900 per item on top of the first item, RMB6000 maximum per sample / RMB6000
advanced per sample
B / Optional identify one or several groups of material. / RMB2000 per group / RMB2000
advanced per group
C / Complexity material analysis
(such as Macromolecular, etc) / Contract price, RMB6000～50000 per item / 50% advanced
D / Product formulate assistance,
including analysis, consultation,proposal / Contract price, RMB 10000～50000 per item / 50% advanced
E / Product technology development / Contract price, RMB 50000～150000 per item, price adjust if difficulty / 50% advanced
F / Industrial diagnosis, Fault analysis etc / Contract price, RMB6000～50000 per item / 50% advanced
G / Trace material identification / Contract price, RMB 2000～10000per item / RMB2000
advanced per sample
H / Other: / Contract price: / 50% advanced
Service Requirement:
Trace material identification:
Regular (14days) Express (7days,50%surcharge) Shuttle (3days,100%surcharge) Agreement:day
Other testing items:
Regular (30 days) Express (15days,50%surcharge) Shuttle (7days,100%surcharge) Agreement:day
Report Service: / Fax / Express Email Self Pick-up / Payment Term:
By Remittance
By Cash
Report In: / Chinese (Default) / English (RMB50 surcharge)
Sample Photo: / No（Default） / Yes
Return Sample: / No（Default） / Yes Other:
Note: 1. Test result only for your reference ( "E" exception) , it’s hard to assure product formulation success according to the test report.
2. Test report and invoice will be issued for you when result come out and received the balance payment.
3. others:
Authorized Signature andCompany Chop ofthe Applicant:
Date: / Authorized Signature and Company Chop of Testing Lab:
Sample Receiving Date:
Skyte Testing Services Shenzhen Co., Ltd. / Skyte Testing Lab., Shenzhen, China National Analytical Center, Guangzhou
Add: 7/F, Bldg 1, Jia'an Hi-Tech Industrial Park, 1st Liuxian Road, Block 67, Bao'an District, Shenzhen, P.R.C. (518101).
Tel: (86-755) 3323 9933 Fax:(86-755) 2672 7113 E-mail:
Effective Date: Aug 5, 2013 / STS-CT413-01

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