TEST REQUEST FORM
THIS TEST REQUEST FORM MUST BE ATTACHED TO THE OUTSIDE OF THE SHIPPING CARTON
BVCPS Contact: CONTACT INFORMATION (Check Submitter)
Please refer to the client
approved laboratory Factory Name:
locations for address, Address:
phone and fax numbers. City, State, Zip
Phone: E-mail:
Important: Agent Name:
Must check the appropriate Address:
Amazon Company, City, State, Zip
Destination Country and Phone: E-mail:
Buyer/Sourcing Manager Report Recipient:
info below.
Factory e-mail:
Amazon Company: Agent e-mail:
Amazon.com C.C. Amazon on all production reports. See Program Procedure for e-mail address based on
Amazon e-mail:
Endless buyer/sourcing manager contact
Lab 126 Invoice Recipient Information:
Shopbop
Company:
Address:
Destination Country:
City, State, Zip
(Select One)
Europe Contact: E-mail:
Japan Telephone: Fax:
US SERVICE REQUIRED (Check One)
*Please note Priority and Rush service may not be available for all testing.
Amazon Buyer/Sourcing Regular Service Rush Service (40% Surcharge) Priority Service (100% Surcharge)
Manager: (5-7 Business Days) (3 Business Days)* (Next Day Service)*
(Select One) TESTING
Michael Consolati HARDLINES QUALITY TESTING SOFTLINES QUALITY TESTING PACKAGE/TRANSIT TESTING
(Tools) (ISTA 1A/1B)
Amazon Test Protocol # : Amazon Test Protocol # : Amazon Test Protocol # :
Na Crabtree
(Baby/Toys) Development
Production Development BARCODE VERIFICATION
Michael He Customer Complaint Production Amazon Test Protocol # :
(Consumer Electronics) Other (See Additional Customer Complaint
Instructions) Other (See Additional Instructions)
Kerry Morris Other
(Home and Garden) (See Additional Instructions)
Additional Instructions:
SAMPLE INFORMATION:
Sample Description:
ASIN#: Model:
Country Of Origin PO Number:
Retest? Yes No Over Packed for Transit Testing: Yes No
If Retest, Previous Report
Number of Samples Submitted:
Number:
Date Authorized Signature
AMAZ-GB-TRFS-GB-V1 Page 1 of 2 Created: 2/6/08
Revised: