SAMPLE CUTTING

TEST REQUEST FORM

Date:

Applicant Name : Office Use Only

Address :

Post Code :

Contact Person : Job No.

Telephone :

E-Mail

If the Payer is different from the applicant, please clarify : Redcats Merchandiser :
Payer name : Quality Level :

Adress Style No.

Contact Person Order No.

Telephone End Uses

E-Mail Seasons

Front/Back Lining/Filling
For Care Instruction( see description sheet or requirement
Fiber Content
file)
Yarn Count :

Construction :

Fabric weight :

No.of Sample :

Buyer's Name :

COLORS
La Redoute Apparel
Full Package
La Redoute Home Textile

Redcats Commun buyings

Additional Colors
La Redoute La Redoute Baby

Retest AM-PM So'Home

(pls. Specify the previous test
report n°) La Maison de Valerie Brylane Home

Other Tests Vert baudet Empire Stores

Shrinkage & Appearance only Daxon Ellos

Buyer's Test Specification : Somewhere Josefssons

Pkg. Report No. Cyrillus Jotex

Previous Report No. Edmée Celaia

Regular (4 working days) and 6
Service required: Express (3 working days) Shuttle (1 working day) Same day
working days with Xénotest
Report delivery service Yes No Return remained sample Yes No
We request for the above tests and agree that all testing will be carried out subject to INTERTEK TESTING SERVICES office 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.

Authorized Signature
Date and Company Chop
(P.T.O. for terms and conditions)

Notes
1. To avoid any delay, the applicant should fill the test requisition form clearly.
2. Client should retain the DUPLICATE for own reference and present the same for collection of test report in our office.
3. The test results for above items will be described in one report.
4. No comment may be given for the test items if related standard or specification is not available