Products & Services

HDMI ATC Testing Order Form - Simplay - Taiwan

HDMI Logo

*Note: Please fill in the blanks in English.
請使用英文填寫以下空格。

Fields with an asterisk are required.
星號*標記的欄位為必填

HDMI Adopter Name:
HDMI 會員公司名稱
HDMI Adopter's Contact Email: HDMI 會員電子信箱 Please enter a valid email address for the adopter (with no spaces at the beginning or ending of the address).
Note: If you are an ODM please enter your adopter's name and contact email address before placing an order.
注意:若你們是ODM廠商且本身不是會員,請在下訂單時填寫會員名稱和聯絡郵箱

Bill To
產品訊息

PO Number:
採購單號
*Company Name:
公司名稱
*Company Address:
公司地址
Company Address 2:
Company Address 3:
Company Address 4:
*Company City:
*Company Postal Code:
*Company State/Province:
*Company Country:
*Contact Name:
聯絡人
* Email:
聯絡郵箱
* Phone Number:
聯絡電話

Primary Contact
(If different from above fill in below contact info.)
首要聯絡窗口
(若與聯絡人不同,)

Contact Name:
聯絡人
Contact Email:
聯絡郵箱
Please enter a valid Primary Contact email address (with no spaces at the beginning or ending of the address).
請輸入一個有效的電子信箱(請勿在郵箱地址的前後留有空格。)
Contact Phone:
聯絡電話

Product Details
(Required if ordering product testing at this time.)
產品詳情
(若申請測試,此欄為必填)

*Test Center Location:
(Pick the test center where you will submit your device.)
授權測試中心
(選擇您將送測的授權測試中心)
   Test Center Locations »
*Planned ship date:
(Approximate date you plan to ship the device to the test center.)
預計送件
(貴公司預計將測試機台送至測試中心的大約日期)
 (mm/dd/yyyy) (月/日/年)
*Product Class:
產品類型
*Vendor Name:
品牌名稱
*Model Name:
產品名稱
*Model Number:
產品型號
Firmware Version:韌體版本

Product Testing Resubmission?
(Check if this is a resubmission and provide the original order# in the next box.)
產品是否為重測
(請確認,若為重測,請在以下空格填寫原來的編號)
Resubmission.
      重測

Original Order #:
(is required if this is a resubmission)
原始編號:
(若為重測,此空格為必填項)

Connectors (1.4)

Qty

Connectors (CAT3) 2.1

Qty

2.1 CAT 3 Cable Compliance Testing

Qty

Premium Cable Compliance Testing

Qty

UHDA ULTRA HD Premium

Qty

HDMI ATC Certificate Testing

HDMI ATC 認證測試

Qty

Optional Items

選測項目

Qty
Pre-Test Service
Note: Select to request a quote

Expedite Testing Service
Note: Select to request a quote
提醒: 若有需求,請勾選以取得報價。


Consulting

諮詢

Qty
Simplay Consulting


Return Ship To
機台送返

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 $500.00USD disposal fee for (Sink, Source, Repeaters) and $100.00USD for (Cables) will be charged to the order.
注意:生產商在申請測試時需提供一張樣機返還運單表。若沒有提供此類表格,對於接收裝置,來源裝置,中繼裝置,將要多收取$500.00美元的處理費。纜線則收取$100.00美元.

*Preferred Method of Shipment:
期望運輸方式
* Preferred Carrier:
希望的貨運公司
* Carrier Account Number:
貨運帳號
* Declared value for return shipment:
歸還機台
ECCN/HTS codes:
(for International shipments)

ECCN /HTS 代碼
(國際運輸需要)
* Contact Name:
聯絡人
* Company Name:
公司名稱
* Company Address:
公司地址
* Contact Email:
聯絡郵箱
* Contact Phone:
聯絡

Upload File(s)
檔案上傳

Select the file(s) on your computer to attach to your order.
將您電腦中的檔案上傳

Capabilities Declaration Form (CDF):
性能申報表(CDF)
HDCP:
Special Instructions:
特別說明

Comments
意見和建議

Note: If you have not done so already, please remember to submit your CDF and HDCP documents prior to your equipment arriving to admin_simplay@simplaylabs.com and reference your confirmation #.
提醒:如前次申請尚未上傳CDF ,檔案 ,請在機台送到測試中心之前,將其發送至 ,並告知原訂單確認編號。

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