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TO: ATTN:

INQUIRY FORM

WE ARE INTERESTED IN YOUR PRODUCT / MODEL NO :
OUR SPECIAL NEEDS ARE :
PLEASE SEND US THE FOLLOWING INFORMATION :
SAMPLES MINIMUM ORDER
QUOTATIONS DELIVERY
CATALOGUE PACKAGING
INQUIRY FROM

Name :
Mr / Ms / Mrs & Family Name first
Job Title :
Company :
Dept / Div :
Fax No :
Phone No :
E-mail :
Street Address :
City & Country :
COMPANY INFORMATION
BUSINESS TYPE :
Wholesalers Distributors Retailers
Manufacturers Corporate End-Users Individual End-Users
Other(specify) :
APPROXIMATE YEARLY SALES VOLUME IN US$ :
Up to 500,000 500,000 to 1 million 1 to 10 million
10 to 50 million 50 to 100 million Over 100 million
Thank you for your input

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