HRTLP Approved Trial Request Form
Name of Trial Author
*
First Name
Last Name
Trial Authors Email
*
example@example.com
Name of Trial Advocate
*
First Name
Last Name
Trial Advocates Email
*
example@example.com
Date Trial Is Needed By
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Distributor
*
End User
Customer Contact
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for Trial
*
Raw Material Change
Customer Initiated
New Product Development
Production Improvement
Process Verification
Quality Investigation
Application Details / Purpose of Trial
*
Trial Scope
*
Number of Cases Needed
Expected Annual Revenue
This will be used to evaluate the request
Quote # / Part Number
Pinter Make / Model
Material and Finishing Specifications
Manufacturing Process
*
Coating - ETI
Converting - Press
Product Type
*
Linerfree
Linered
Format
*
Rolls
Fanfold
Chemistry
*
Direct Thermal
NTC Direct Thermal
Thermal Transfer
Material
Label Width
*
Label Length
*
Facestock
*
Adhesive Vendor / Item #
*
Adhesive CWT
*
Silicone Vendor / Item #
*
Silicone CWT
*
Core Size
*
Rolls per Case
*
Labels per Fold
*
Labels per Stack
*
Stacks Per Case
*
Application Method
*
Auto App
Hand App
CTQ's
Customer CTQ #1
Customer CTQ #2
Customer CTQ #3
Customer CTQ #4
Customer CTQ #5
Submit
Should be Empty: