WELD NDT TEST REQUEST FORM

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Customer Reference No (客戶參考編號)

(If any) (如有)

Customer Name (客戶名稱)

Customer Address (客戶地址)

Company Name Appear in Report

(出現在報告中的公司名稱)

(If Different) (如果不同)

Company Address Appear in Report

(出現在報告中的公司地址)

(If Different) (如果不同)

Project / Site (項目/地點)

Expected test period (預計測試期)

YYYY

Job Contact Person Name (工作聯繫人姓名) *

Job Contact Person Phone Number (工作聯繫人電話號碼) *

Job Contact Person Email (工作聯繫人電子郵件)

(If any) (如有)

Job Contact Person Fax (工作聯繫人傳真)

(If any) (如有)

Account Contact Person Name (帳戶聯繫人姓名)

(If same as Job Contact Person, not required to input.)

(如果與工作聯繫人相同，則無需輸入。)

Account Contact Person - Phone Number

(帳戶聯繫人 - 電話號碼)

(If same as Job Contact Person, not required to input.)

(如果與工作聯繫人相同，則無需輸入。)

Account Contact Person - Email (帳戶聯繫人 - 電子郵件)

(If same as Job Contact Person, not required to input.)

(如果與工作聯繫人相同，則無需輸入。)

(If any) (如有)

Account Contact Person - Fax (客戶聯繫人 - 傳真)

(If any) (If same as Job Contact Person, not required to input.)

(如有) (如果與工作聯繫人相同，則無需輸入。)

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