Diane von Furstenberg Test Request Form
Sales Executive: Debra Chronicle
DIVISION:
Account Manager: Christy Chan
CONTACT PERSON:
VENDOR:
EMAIL:
ADDRESS:
PHONE:
FAX:
VENDOR’S COURIER ACCOUNT # FOR SAMPLE RETURN:
REPORTS TO:
DVF PRODUCTION MANAGER CONTACT:
BILL TO:
ADDRESS:
SAMPLE DESCRIPTION:
END USE:
CHILDREN (up to age 12 and under)
ADULT
COLOR:
STYLE #:
MFG:
FIBER CONTENT:
FABRIC:
SUPPLIER #:
PO# / REF#:
COUNTRY OF ORIGIN:
WEIGHT:
CONSTRUCTION:
COUNT:
VENDOR PROPOSED CARE INSTRUCTION: (Must be filled in below in order for testing to start)
Package Test: (double click on box, select “check”)
Knit Fabric Package
Woven Fabric Package
Additional Colorways
Leather Skin Package
Faux Leather Package
Retest: Previous Report Number:
Additional Tests (Please specify below):
Flammability (Non Exempted fabric Only)
Seam Slippage
Seam Strength
Tensile Strength
Tear Strength-Elmendorf
Fiber Content (Cashmere)
Fiber Content (Cashmere/Wool)
SUPPLIER SIGNATURE:
Date:
Chemical Test
Lead Content (Coating / Substrate)
Phthalates (7Ps)
Other
DATE:
NOTE: Applicant is hereby authorizing SGS to provide a copy of the lab test results to Client
Service Required:
Regular (5 days)
Express (3 days): Surcharge: US: 50% Asia: 40%
Return Residual Sample
SGS North America Inc. / 291 Fairfield Avenue / Fairfield, NJ 07004, (800) 777-TEST (8378) / www.sgs.com
February 23, 2012
February 23, 2012
February 23, 2012