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Product Inquiry and Information Request Form

Thank you for your interest in our products and services, in order to help us serve you better, please kindly provide as much information about your prestige organization, specially those with a "*" indicated. We look forward to forge a long and profitable business relationship with you.
 
A) Inquiry Details
1. Account Nature *:
Purchasing Inquiry
OEM
ODM
Others (Please Specify):
2. List the countries you retail or export the products inquired on:
3. Product(s) that you are interested:
HD DV Camcorder DDV-7120HD PMP DV Camcorder DDV-7300
PMP DV Camcorder DDV-730 PMP DV Camcorder DDV-1100
PMP DV Camcorder DDV-6000 PMP DV Camcorder DDV-5120A
Mini DV DDV-8000 PMP Camcorder DDV-A7000
PMP-Camcorder DDV-A700 Mini DV Camcorder DDV-C511
PMP-DV Camcorder DDV-5000 Mini-DV Camcorder DDV-C330/C340
HandyCam DDV-5300 6MP CCD Super Slim Camera DDC-690

Others(Please Specify):
4. Select the information you want to receive:
FOB prices (for minimum order quantity)
Delivery time
Minimum order quantity
5. Expected Order Quantity:
units ,
 
B) Company Information
1. Company Name *:
2. Head Office Location:
3. Company Website URL:
4. Year Established (yyyy):
5. Business type:
6. How do you first know about us?
Search Engine
Yahoo
Google
Lycos

Online Directory
Global Source
China Trade
Taiwan Products

Trade Magazine
Global Source Electronics
Euro Trade

Exhibition
Cebit Hanover
Gitex Dubai
Computex Taipei

Others please specify

7. Other information you like to provide (Maximum 1500 words):
 
C)Contact Details
1. Contact Person *:
Title: Mr. Ms. Mrs. Dr.
Name:
Job Title:
2. E-Mail *:
3. Tel *:
Country CodeArea CodeTel NumberExt.
4. Fax :
Country CodeArea CodeTel NumberExt.
5. Address Line *:
6. City :
7. Zip/Postal Code :
8. State/Province :
9. Country/Territory *:
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LIFE TECHNOLOGIES CO., LTD.

R&D and Head Office:
8F,No.17, Lane91, Sec.1, Neihu Rd.,
Neihu District, Taipei City 114,
Taiwan (R.O.C.)
Tel: +886-2-2797-8686
Fax:+886-2-2799-3099
E-Mail inquiry@wimi.com.tw