Kunderegistrerings- og materiellbestillingsskjema

Cust.site registration & order Skjema for kunderegistrering og frstegangsbestillingKryss av det som passerE-mail adresse til den som fyller ut dette skjema__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __* Obligatoriske feltKundedataKundenavn *Adresse *Adresse *Poststed *Postnummer *Land *Telefonnummer *Alternativt telefonnummerRekvisisjonsnummerKontaktperson (hos kunde) *Bestilling av prver og prvemateriellTypeProdukt-nummerBeskrivelseInnholdAntallForhndsbetalt standard prvesett700000148K1 for Kjrety og Transport and (10 stk.)10 flasker, 10 ferdigadresserte konvolutter, 10 flgesedler (sjekkhefteformat)700000149K2 for Industri (10 stk.)10 flasker, 10 ferdigadresserte konvolutter, 10 flgesedler (sjekkhefteformat)700000089Ekstra prveflasker 10 stk 60 mlPrvesett for utvidede tester betalt i etterkant700000088Ekstra prveflasker 10 stk 250 mlHvert sett inneholder flasker, egen emballasje for hver flaske merket med adresse og flgeseddel for utvidet prve. Merk at prisen er kun for flaskene (eks. testen)700000130Ekstra prveflasker 10 stk 500 ml (Glass)700000154Ekstra prveflasker 6 stk. 1000 ml (Aluminium)Tilbehr700000090Prvetakingspumpe1 stk pumpe for ta oljeprve med700000092Slange 25 mSlange for bruke sammen med pumpen700000147Pumpeadapter for strre flasker (fra 500 ml)Adapter for at 500 ml flasker skal passe til pumpenKun til bruk for ShellSold to *:Ship to *:Account Manager *:Copy reportsTechnical support *:Review samplesRetureres pr. e-mail til:(Din LubeAnalyst kontakt)

Ny LubeAnalyst kundeEksisterende LubeAnalyst kundeMelding om endringMaterialbestilling

Subscriber registration formE-mail dette skjemaet til din LubeAnalyst kontaktperson:..* Indikerer at feltet m fylles ut, (20) indikerer maks antall tegn i feltetOm forskjellig adresse (vis rader om ndvendig)Land*Telefonnr* (20)Alternativ tlf.(mobil) (20)Faksnummer (20)E-mail* (50)Mottak av rapportE-mail formatRapporter med "rdt lys"E-mail for rapporter med "rd lys" om forskjellig(50)Report dispatch frequencyKontaktperson* (30)Sprk*Kundenavn (100)Adresse linje 1 (50)Adresse linje 2 (50)Adresse linje 3 (50)Adresse linje 4 (50)Adresse linje 5 (50)PostFaxWebEmailPDFTextExcelCVSExample :John WilliamsEnglishWilliams Engineering5 Belvadere RoadShevingtonWiganLancashireWN6 8BTUnited Kingdom+441257472861+44 7831 165658+44 1257 5763532John.Williams@Eng.co.ukaaaNone4 HoursaaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0aaaNone0

Skjulte raderCapture the names of each of the users who would need either web access or reports via any other route.This sets the language used in the web site and any reports sent to the specific user.You only need to capture this if the address is different to the Customer site address captured on the first tab of this spreadsheet. It is vital this is correct if you have chosen to obtain reports via post.This is the country where the user is located.The users contact telephone number including area code and International dialling code.The users Mobile or alternative contact telephone number including area code and International dialling code.The users Fax number including area code and International dialling code.The users email address for report dispatch purposes.This is the route by which each user would like to receive the reports.

Note: Post may attract additional costs.This is the type of file format you would like to receive.

PDF is the most usesfulIf you would like to receive red samples in a different way than already specified.Only fill this in if you want to select a different email address than already provided.If the Laboratory are processing many samples during the same day for a specific users, setting dispatch frequency will mean that reports are batched up into a single email rather than sent each as an individual one.Note: This will delay your notification.

4 hours is the normal default.John.Williams@Eng.co.uk

Equipmt & Vehicle reg formKundenavn:..Kundenavn:...Land:Adresse:...E-mail addresse:.......Kundenummer:...E-mail dette skjemaet til din LubeAnalyst kontaktperson:..* Indikerer at feltet m fylles ut, (20) indikerer maks antall tegn i feltetInformasjon om utstyretTilleggsinformasjon (valgfri)Tilleggsinformasjon for smremiddelPrvepakker og tilleggstesterLubeAnalyst nummerUtstyrskodeUtstyrsplassering(50)*Utstyrsgruppe *Utstyrstype *Utstyrsbeskrivelse(50) *Utstyrsnummer (60)Utstyrsprodusent *Utstyrsmodell *KritikalitetSluttdato for garantiRPM (8)ProduksjonsrDrivstofftypeKapasitet (Ltr) (8)Effekt (Kw or Hk)KomponentkodeKomponenttype *Komponentbeskrivelse (50) *Komponentnummer (50)Komponentprodusent *Komponentmodell *Oljefabrikant *Produktnavn *ViskositetType smremiddelPrvepakke *Tilleggstest 1Tilleggstest 2Tilleggstest 3Tilleggstest 4Tilleggstest 5Tilleggstest 6Tilleggstest 7Tilleggstest 8Tilleggstest 9Tilleggstest 10Mine siteOff Highway EquipmentRigid Dump TruckCaterpillar 777C dump truck45898833CATCaterpillar777CNo12/20/10na2009N/A91naEngine-Diesel HD-Off HwyEngine (D / DT)43744733CaterillarEngine (D / DT)ShellRIMULA R6 LM 10W-40SAE 10W-40Gear Oil - Mineral and PAO basedOCM K1 Diesel & Gasoline EngsOCM TAN OptionMine siteOff Highway EquipmentRigid Dump TruckCaterpillar 777C dump truck45898833CATCaterpillar777CNo12/21/10na2009N/A95naTrans.-Manual UnsynchronizedTransmission54848548CaterillarunknownShellDONAX TC 30SAE 30Automatic Transmission FluidOCM K1 Auto Trans & GearboxMine siteOff Highway EquipmentRigid Dump TruckCaterpillar 777C dump truck45898833CATCaterpillar777CNo12/22/10na2009N/A4.7naBearings-BallFront Wheels (each)38473743CaterillarunknownShellDONAX TC 50SAE 50Automatic Transmission FluidOCM K1 Auto Trans & GearboxMine siteOff Highway EquipmentRigid Dump TruckCaterpillar 777C dump truck45898833CATCaterpillar777CNo12/23/10na2009N/A83naHyd.Pump-GearSteering Hydraulics47348734CaterillarunknownShellRIMULA R3 10WSAE 10WEngine OilOCM K1 Const Eqpmt Gears & HydrsMine siteOff Highway EquipmentRigid Dump TruckCaterpillar 777C dump truck45898833CATCaterpillar777CNo12/24/10na2009N/A250naHyd.Pump-GearHoist, Converter and Brake Hydraulic Tank89293325CaterillarunknownShellDONAX TC 30SAE 30Automatic Transmission FluidOCM K1 Const Eqpmt Gears & HydrsMine siteOff Highway EquipmentRigid Dump TruckCaterpillar 777C dump truck45898833CATCaterpillar777CNo12/25/10na2009N/A314naDiff./Final Drive/Axle/Tandem DriveDifferentials & Final Drives (each)47379499CaterillarunknownShellDONAX TC 50SAE 50Automatic Transmission FluidOCM K1 Auto Trans & GearboxNoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/ANoN/