Sample

Exhibit A: Form of Work Order
Mr. Hiroyuki Funama
Manager
Sony Corporation
Project No:
ATC Use Only
TEST WORK ORDER
Between (ATC) : Sony Corporation
MHL Authorized Test Center
and (Adopter): ABC Company
effective date :
MM/DD/YYY
Reference is made to the Service Agreement (the “Agreement”) executed by and between Sony Corporation (“ATC”) and (“Adopter”) .
Unless otherwise defined herein, words and phrases used in this Work Order shall have the same meaning as defined in the Agreement.
Adopter hereby requests ATC to perform the ATC Testing pursuant to the Agreement and the following conditions:
Test Lab
Sony MHL ATC-Gotanda
Description of Product to be Tested
xxxxx
TV
Sink
NTSC
Product Name
Product Type (TV, BD etc)
Product Category
Note/Remarks (optional)
Contact information
Applicant Name
Title
Company Name
Division
Address
your name
xxx Manager
ABC Corporation
XXXX Div.XXXXX.Dep
XXXXXX Osaki, Shinagawa-ku ,Tokyo 1234567 Japan
Telephone
E-Mail
Test Fee
Test Commencement Date
Payment Due Date
Adopter:
By:
Name:
MHL Price List
[Insert Date]
ABC Company
Your Signature
+80-X-XXXX-XXXX
[email protected]
2019/1/1
Please refer to the invoice.
Allion Labs, Inc. will issue the invoice on behalh of Sony
Accepted and agreed;
ATC:
Sony Corporation
By:
Sony's Signature
Your Name
Title:
xxx Manager
Date:
MM/DD/YYYY
¥1,062,000
Name:
Title:
Date:
Hiroyuki Funama
Manager
<MHL 1.x>
Category No.
M100
Source
M101
M200
M201
Sink
M202
M203
M300
Dongle M301
M302
M400
Cable
G.TTL
Description
Compliance Test (1 port)
+ HDCP
Compliance Test (1 port)
+ Additional Input (1 port)
+ HDCP
+ HDCP Additional Input (1 port)
Compliance Test
+ HDCP
+ HDCP Additional Port
Compliance Test
Price
Q'ty
¥850,000
¥229,000
¥900,000
¥250,000
¥229,000
¥57,000
¥700,000
¥229,000
¥57,000
¥150,000
Re-Test Q'ty
¥400,000
¥114,000
¥450,000
¥145,000
¥114,000
¥320,000
¥400,000
¥114,000
¥320,000
¥100,000
<MHL 2.x>
Category No.
Source M120
M121
M220
M221
Sink
M222
M223
M320
Dongle M321
M322
Cable M420
G.TTL
Description
Compliance Test (1 port)
+ HDCP
Compliance Test (1 port)
+ Additional Input (1 port)
+ HDCP
+ HDCP Additional Input (1 port)
Compliance Test
+ HDCP
+ HDCP Additional Port
Compliance Test
Price
Q'ty
¥1,062,000
1
¥286,000
¥1,125,000
¥312,000
¥286,000
¥71,000
¥875,000
¥286,000
¥71,000
¥187,000
Re-Test Q'ty
¥500,000
¥142,000
¥562,000
¥181,000
¥142,000
¥40,000
¥500,000
¥142,000
¥40,000
¥125,000
Total
¥0
¥0
¥0
¥0
¥0
¥0
¥0
¥0
¥0
¥0
¥0
Total
¥1,062,000
¥0
¥0
¥0
¥0
¥0
¥0
¥0
¥0
¥0
¥1,062,000