Rapid Request Form


E-Mail
Subject:
Your E-Mail
Contact Info
* = Required Fields
First Name*
Last Name*
Title*
Company Name*
Address*
City* State Zip
Telephone* Fax
Package Info
Product name (code name)*
Number of packages*
Package Dimensions*
Package Weight*

Requested Tests
Package Performance Tests
ASTM D4169 - Distribution Cycle Assurance Level
ISTA Project
Company Specifications (specify protocol number in notes directly below)
Package Impact Test - Number of Impacts Drop Height
Package Vibration Test - Frequency Bandwidth Intensity
Type of Spectrum
Package Compression Test ASTM D642

Notes:

Product Testing
Product Vibration Test:
Frequency Bandwidth Intensity
Product Shock Test: Input Acceleration Level
Duration Veclocity Change Axes
Shock inputs per axis
Step Acceleration
Step Velocity

Notes:

Material Testing

Material Testing:

Notes:

Environmental Testing

Environmental Testing:

Notes:

Other Tests
Other Tests:
Notes: