Customer General Information * Must Fill-in Item
* Company Name:
* Business Type:
* Contact Person:
* Title:
* Contact Number:
  Fax Number:
* E-mail Address:
  Company Web Site:
  Company Address:
Product and Technical Information
* Product Name:
* Application:
  Product Type:
  End User:
  Product Weight:
* Requested Material/Grade No.:
* Estimated Forecast:
  Expected Price:
* Project Status: Under DevelopmentMould FinishedWaiting TrialOthers (please notified)
* Molding Method: InjectionExtrusionBlow MoldingOthers (please notified)
  Requested Information: Data SheetRoHSMolding GuideOthers (please notified)
  Product/Material Requirement Description:
  Special Requirement:
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