Quote Request Form
Client trading name
Client registered name
Registration number
VAT number
Name of responsible person
Office tel no.
Cell number of responsible person
Contact email
Address
Address Line 1
Address Line 2
City
Province
Postal Code
Type of test
*
Fire-Resistance Testing
Reaction-to-Fire Testing
Gas Suppression
Sprinkler Test
Other tests requested: Specify standard
Specify test
Orientation
Vertical
Horizontal
Vertical type
Door (SANS 1253)
Wall/Panel (partition)
Fire damper (SANS 193)
Other (specify sample type)
Specify vertical sample type
Type of door
Double door
Single door
Load bearing?
Yes
No
Horizontal type
Floor (loadbearing: EN 1365-2)
Ceiling (non-loadbearing: EN 1364-2)
Beam (loadbearing: EN 1365-3)
Other (specify sample type)
Specify horizontal sample type
Class type
Class A1
Class A2
Class B-D
Class E
Class A1 list of materials
Class A2 list of materials
Class B-D list of materials
Class E list of materials
Product Descritpion
Please verify that you are human
*
Submit
Should be Empty: