Laser Thermal Testing Services - Intake Form

Testing Services Intake Form

Please fill out this form to help us understand your testing needs and provide the best service possible.
CONTACT INFORMATION
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number

Country CodeArea CodePhone Number
COMPANY INFORMATION
Company or Organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you submitting 7 or more samples?*

YesNo
Since you are submitting 7 samples or more, please complete this intake form only for your first sample. Toward the end of this intake form, we will provide further instructions on to submit about your details for your remaining samples to be tested.

WHAT ARE THE ALLOWED CLEANING METHODS BEFORE TRANSDUCER DEPOSITION *

COMPOSITION OF YOUR THIN FILM SAMPLES*

	Reference ID / Label	Material	Atomic structure	Film thickness in nm (as accurate as possible)
Sample 1
Sample 2
Sample 3
Sample 4
Sample 5
Sample 6

ABOUT THE SUBSTRATE OF YOUR THIN FILM SAMPLES. Please ensure that you send us sample of your bare substrate(s).*

	Reference ID / Label	Substrate material	Single-side or double-side polish
Sample 1
Sample 2
Sample 3
Sample 4
Sample 5
Sample 6

INFORMATION ABOUT YOUR MATERIAL*

	Form (solid, liquid, paste, gel, powder, foam, thin film)	Any details about its grain / structure (density, stoichiometry, homogeneity)
Sample 1
Sample 2
Sample 3
Sample 4
Sample 5
Sample 6

Please share any other details about your samples you would like us to know ahead of testing

YOUR DESIRED MEASUREMENTS
We offer tests either in a standard format or you can request a custom format for your test.
- Standard spot measurement: random 5 spots average
- Standard thermal map: 10x10 mm area.

FOR EACH SAMPLE INDICATE THE TYPE OF TEST YOU WANT*

If you selected a custom spot measurement, please specify number of spots, location and area
Optional: Upload a picture of specific location / area

Cancelof
If you selected a custom thermal map, please specify desired pixel density, location and area
Optional: Upload a picture of specific location / area

Cancelof

PLEASE INDICATE FOR EACH SAMPLE YOUR SPECIFIC HANDLING INSTRUCTIONS POST TEST COMPLETION? *

Do you want Laser Thermal to use your shipping account in order to return the samples*

Yes, use my shipping accountNo, use Laser Thermal shipping account. Handling & shipping fees will be applied to your account.
Please enter your shipping provider information*
Please enter your shipping instructions*
Please add any other details you want us to know about the handling of your samples post test completion.
REPORTING INFORMATION

Please indicate the individuals to whom we should send the final report?

PAYMENT
Please indicate your expected lead time*

Standard lead time (2-3 weeks ARO & samples)Expedited lead time (1 week ARO and sample). 50% price premium
Please indicate you method of payment*

Credit cardPurchase orderOther
Digital Signature to Confirm Your Information*

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Please verify that you are human*
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Testing Services Intake Form