中国质量认证中心CQC/QPZH02.01(1/3)购买标志申请书ApplicationFormforPurchasingMark申请人Applicant地址/邮编Address/PostalCode标志使用范围UsingScopeoftheMarks已获证证书编号CertificateNo.其它说明Remark产品名称NameofProduct产品型号Model发货方式Delivery□自取TakenbyApplicant□邮寄byPost申购日期DateofApplication年Y月M日D申购型号ModelofMark□CQC通用□安全S□电磁兼容EMC□安全和电磁兼容S&E□性能P□节能ES□ROHS□生态纺织品产品安全□质量环保□农食产品□GAP一级□GAP二级□有机产品□有机转换□饲料产品申购数量(枚)Quantity10mm20mm30mm45mm60mm联系人ContactPerson电话Tel传真Fax付款方式Payment现金/支票(附财务发票复印件)Cash/Check(Copyofinvoiceattached)已付(附付款证明复印件)Paid(Copyofremittanceattach)其它说明Remark公司盖章/pany/SignatureofAuthorizedPerson注:如代理人购买,还须附申请人的委托书。Note:Inthecaseofagentpurchasing,powerofattorneyoftheapplicantisneeded.
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