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Samply Inquiry

Date: * Number:
Company name: *
Address: *
Project name: Tel: *
E-mail: Fax:
Purchasing contact: Extension number:
Development contact: Extension number:

If you already know the company's product model, please fill in the following form (Note: a model can only apply for a maximum of 2 samples).

Number Application model Ever used product model or brand Each Usage Remark

If you do not know the company's product model, you can fill out the specific needs of the product performance, application environment:

Compatible with what brand products
Size requirements
Packaging requirements
First order quantity (very important)
Estimate annual purchase usage
First order time (very important)
The Last product uesd
The duration of the project
Suggestions for our company

(The above information is required. Only in this way can allow us to provide more comprehensive service for the customer, choose closer to customer demand for products. )