LABC

Registered Detail Application

Applicant

Organisation Name

Address

City

Post Code

Title

First Name Surname

Email

Tel. Number

Fax Number

Web Address

Direct Contact or Agent

Organisation Name

Address

City

Post Code

Title

First Name Surname

Email

Tel. Number

Fax Number

Web Address

Description, including a brief technical overview (full technical details will be requested at a later date)

Do you require an assessement for an LABC Warranty?

Yes No

If known, please provide the name of your preferred Research Authority who will check and validate the technical content of your submission.