R USTANDARD LTD MILANOFIORI (BUSINESS CENTER REGUS) STRADA 6

MODULO RICHIESTA PREVENTIVO

R USTANDARD LTD.

Milanofiori (Business Center Regus)

Strada 6, Bldg A/13, floor 1 - 20090 Assago (MI), Italy

Tel. +39 02 87165990 www.rustandard.com

QUOTATION REQUEST FORM

(Please, fill the present form in and send it back with the user’s manual/product datasheet at: [email protected])

OBJECT DESCRIPTION
PRODUCT NAME/DESCRIPTION:	in case of several products or manufacturers please fill in the attached table
DESIGNATION (TYPE, MODEL, ETC.):
SCOPE:
CUSTOMS CODE (HS):
CE MARK (Yes/No):
MANUFACTURER
COMPANY NAME:	in case of several products or manufacturers please fill in the attached table
CONTACT PERSON, TELEPHONE, E-MAIL:
SERIAL (MASS) PRODUCTION
REQUIRED CERTIFICATE VALIDITY (1-5 years):
SINGLE SHIPPING
COUNTRY OF PRODUCT DESTINATION:
DELIVERY DATE (approx.):
*SERIAL NO.:**

№	NAME/DESCRIPTION	DESIGNATION (TYPE, MODEL, ARTICLE, ETC) as PER NAMEPLATE!!!	MANUFACTURER (name + address)	APPLICABLE EU DIRECTIVES AND/OR STANDARDS	*Q.TY’
1
2
3
4

NOTES:

* INDICATE QUANTITY ONLY IN CASE OF SINGLE SHIPPING.

The completion of this form does not constitute any contractual commitment to RUSTANDARD LTD. and only has the function to request an offer for the economic and technical certification service. The issue of the economic offer is subject to time due to the analysis of technical documentation and reference standards. In case of particularly complex certifications, additional information may be required.

The Privacy Policy covers all information received by RUSTANDARD LTD. according the Art. 13 of D.Lgs. 196/2003.