Free Sample Application

Date of Application*

Name of applicant*

Company Name*

Website

Purchasing Contact*

Phone*

E-mail*

R&D Engineer*

Phone*

E-mail*

Address*

Project Name

Model

number

Single dosage

volume

The company mainly produces the product type

1 transmission device

2 Portable devices

3 Meter reading

4 Distribution power supply

5 T-Equipment

6 Analog/digital signal

7 Measuring Instrumentation

8 Medical Equipment

9 Industrial field devices

10 Computer network equipment

11 Power system equipment

12 Railway system equipment

13 Safety equipment

14 Automotive electronics

15 Coal mining equipment

16 Consumer protection equipment

17 Metallurgy

18 Other

   

Description: 1. After submitting the application form foreign goods, if the Company approved, within two working days have someone contact reply.

         2. The number of applications for the foreign goods 1-2; by courier delivery, transportation costs borne by the applicant.

Description: The items marked with an asterisk must be completed, the "submit" button can be pressed parties.

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