Test request form for product certification

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ProfiScript test tool

Test Request Form

Please fill in this form and we will send you a test contract and other information. After submission you will directly receive confirmation by email, so make sure your email address is correct!

All items must be filled in!

Contact Information
Company:
Contact person:
E-mail:
Country:
Telephone Number:
Security code:	Copy this code: TESTLAB

Product
Name:	Example: ET200S
Description:	Example: Remote I/O on DP

Protocol:	DP-V0 Slave
	DP Couple Component (e.g. Repeater or Fibre Optic Module)

	DP-V1 Slave	Class 1 Class 2 Alarms Profile blocks, total

	PA Slave	Class 1 Class 2 Alarms Profile blocks, total

ASIC:	LSPM2 VPCLS2 SPC3 VPC3+C SPC4 DPC31 LX-002 LX-180BP Other:

Test type:	Hardware only Complete test
Preferred test date:

Others:	I have used ProfiScript during development. I would like to visit the Test Laboratory during the test.
Comments:


Please send me information about:	ProfiScript test tool. Sales of ASICs.