REGISTRATION FORM
INTERLABORATORY COMPARISON
Reference : EIL-TR-Q-018_B
Revision : 1
INTERLABORATORY COMPARISON: Chemical disinfectants and antiseptics – ILC 2017
TESTS / CALIBRATIONS: Tests according to EN 1656 et EN 13697 standards
Society / Laboratory: …………………………………………………….….…….…….………………………........
Address: ……………………………………………………….…………….……………………..............................
Laboratory contact:
-
Last Name – First Name: …………………………………………………..….……………..……………..
Telephone number: ……………………………………………..…….…………………..………………....
E-mail: …………………………………………………………..…………..………………………..............
Address of the product delivery (if different):
…………………………………………….…..……………..……….…………………………….………….
Contact for billing:
-
Last Name – First Name: …………………………………………………..….……………..……………..
Telephone number: ……………………………………………..…….…………………..………………....
E-mail: …………………………………………………………..…………..………………………..............
Address: ………………………………………….………………….…………………………….………….
VAT number: …………………………………….………………….…………………………….………….
Participation fees (*) : 690 € net total
(*) This price includes the disinfectant provision and associated transportation costs, the results file to complete
and the final report containing the exploitation of results. This rate is for the supply of a bottle of disinfectant.
ACCEPTANCE OF THIS PROPOSAL
I the undersigned, ……………………………………….……………………., from the compagny / laboratory
………………………………………………………... acknowledge having read the contents of this proposal
and the terms of sale in appendix and accept them fully.
My signature on this order is equivalent to a purchase order of the CT2M services at this date.
Date: ………...
Visa and company / laboratory stamp:
Thanks to return this registration form by e-mail at [email protected] or by fax at +33 (0)4.90.50.89.63.
Registration form – Inter-Laboratory Comparison
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REGISTRATION FORM
INTERLABORATORY COMPARISON
Reference : EIL-TR-Q-018_B
Revision : 1
Appendix: Terms of sale
1 – Mutual Commitments
This registration commits the CT2M and participants against any collusion or falsification of results.
This registration is also committing participants to respect the protocol that will be sent to participants.
The signatory of this document agrees to provide all information needed to conduct measurements to anyone
brought to participate in this inter-laboratory comparison (ILC), including the protocol. Every observed
malfunction shall be notified to the coordinator.
2 – Invoicing
Invoicing is made at the beginning of the campaign, when the disinfectant is sent. The settlement is 30 days
end of month of the invoice date.
Every registration fee is due when the campaign is started and won’t be cancelled or refund.
3 – Loss, destruction or non-receipt of the tested disinfectant
If the tested disinfectant is loss or destroy or not received, the CT2M reserves the right to demand the
redemption amount and the return of the disinfectant.
The CT2M cannot be held responsible for any loss, destruction or non-receipt of the tested disinfectant.
Therefore, the amounts received for the registration fee will not be returned.
4 – Number of participants
In case of insufficient number of participants for an appropriate statistical treatment, the CT2M reserves the
right to cancel this inter-laboratory comparison (ILC). In this case, any payment already made by the
participants will be fully refunded by the CT2M.
5 – Participation in the ILC on one of both the frames of reference
If a participant wants to participate in the ILC on one of both standards (only EN 1656 or only EN 13697), he
must inform the coordinator of the ILC by email at [email protected]. No discount on the registration fee may be
guaranteed by the CT2M.
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