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TEFLON® HANGTAG ORDER FORM ® Please return this FORM with the DuPont™ TEFLON Brand Assurance Test for the fabric. Also if you are the licensed mill/finisher and order hangtags, please also attach copies of your chemical purchase invoices. The delivery of the hang tags requested does not imply nor grant the Retailer, Brand House or recipient, the right to reproduce or use the TEFLON® trademark and its diamond logo in any promotion, advertising or marketing except for placement of the hang tags on the identified end use goods. If companies are interested in rights to promote the TEFLON® trademark besides use of these hangtags, then please contact your DuPont representative for a Trademark User Agreement. Unauthorized use constitutes a trademark infringement penalized by law. Region Contact EMAIL Tel: Fax: North America Nina Servino Janina.M.Servino@usa.dupont.com +1-302-992-2341 +1-302-892-7704 Europe John Painter firstname.lastname@example.org + 44(0)1476 573 784 +44(0) 1476 573 784 Asia Christine Peng Christine.email@example.com +886 2 2514 4412 +886 2 2712 9617 Requestor: (please check one): Finisher/Mill End Article Producer Fabric Agent REQUESTOR NAME DATE: COMPANY NAME: TEL #: EMAIL ADDRESS: SHIPPING INFORMATION: Company Name: Delivery Address: Postal Code: Attention: Tel: Fax: Courier/carrier account no. required if delivery is outside of region or overnight delivery needed: Courier/carrier company name: Account # to charge: MILL/FINISHER INFORMATION: Company Name: Country: Meters/Yardage: Fabric Style No. HUNTSMAN Certificate No. END-USE INFORMATION Apparel: Garment type: (please circle one) Garment Gender (): Unisex ___ Male __ Female ___ Junior ___ Infants ___ Jacket/coat Outerwear Sportswear Skirt/pant Suit Childrenwear Shirting Knit top Sweater Rainwear Umbrella Luggage Accessories: Others: (please specify) Home Furnishings (please circle one) Deco Fabrics Tablecloth Bedding Mattress Awning Curtain Upholstery Other: Other End-use (please specify): No. of End-uses produced: Qty of fabric per unit: Retailer/Brand House: Country: Contact person: Phone/Fax/Email: HANGTAG INFORMATION Hangtag ref. Code: Quantity requested: TO BE COMPLETED BY DUPONT/HUNTSMAN Hangtag order no. _________ Mill Confirmed _________________ Testing Confirmed____________ Fluorochemicals usage (verified by Huntsman’s sub-region sales head): (kgs) (name) TEFLON is a DuPont registered trademark for its brand of fabric protector. Only DuPont makes TEFLON. Rev: Apr.09 TEFLON is a DuPont registered trademark for its brand of fabric protector. Only DuPont makes TEFLON. Rev: Apr.09
"TEFLON HANGTAG ORDER FORM - DuPo"