MULTIPLE LISTING REQUEST FORM
Contents
1. MULTIPLE LISTING REQUEST FORM UL LLC UNDERWRITERS LABORATORIES CANADA INC FILE INFORMATION Email to mls us ul com OO eit fo QOOOODO OOO OOOO Oooo Applicant Supplier Company ML Company Name Name ABC Corp XYZ Corp Address 134 Godo cho Hodogaya Yokohama Address 4383 326 Asama cho Ise shi Kanagawa 240 0005 Japan Mie 516 0021 Japan Applicant File Number El 2345 ML File Number E98760 CCN NWGQ NWGQ7 NWGQ2 NWGQ8 ANN UL 7 NOU OO OU DU OOUOOUVOODUOCOOUUO00 00000 A Is Applicant s model s currently certified by UL O Yes a eee T B US UL Certification requested Yes No Complementary CCN s requested C Yes No D E ULC UL Canada Certification requested Yes No To be processed by UL Canada Please submit aaxService ca ca ul com DOODOUUUO OOO 0 00 00 OO 00 0 000 00 NOTE If ML proposes to use a trade name trademark on the company s products in lieu of the company name see attached Trade Name Trademark Information Sheet or call or fax the ML Handler at the UL office indicated above IL CORRELATION OF MODEL DESIGNA PRODUCTS ML MODELS OTHER THAN COSMETIC If additional space is needed please provide an attachment lll LITERATURE AND LABEL REQUIREMENTS Require yineering review For those product categories that involve product labels please also submit a copy of the produc2. t label for UL Engineering review Note Engineering may consider a review of ML label or literature review unless no literature is packaged with the ML s product necessary regardless of what is marked in section 3 If a review is deemed necessary a ML Handler may contact you IV MAILING AND BILLING Applicant Mailing Information poo gooooooooeoo Multiple Listing Mailing Information Doo oooooooooooo Contact Name Ichiro Tanaka Contact Name Taro Yamada Contact E mail XXXX yokohama ul cOM contact E mai XXXX ise ul com DOCOOCOOOOOOCOOCOODDOOO0DO0O0n008 OOOOOOOOOOO OOO oo oo ooooooonoboooo0e invoicing of mu ALLO UO UO OULU SUOUU UCU OO MUU UO OOOO UU UO WOON OQUO UO the default billing for a specific ML relationship please check the box below and a ML Handler will contact you directly for specific details ML Invoicing would like to change the default company for the Multiple Listing invoicing Please contact me for specific information Atten To Ichiro Tanaka Mr ABC Corp m Godo cho Hodogaya ku Yokoharra Knagawa 240 0005 J apan 240 0005 134 ABC
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