		Home

1.Enquirer's Information (your information)

Company Name*

:

Address

:

State

:

City

:

Postcode

:

Country

:

Telephone*

:

Fax

:

Contact Person*

:

Title

:

E-mail Address*

:

URL

:

Please check your business nature:

	Import		Export
	Manufacturing		Wholesale
	Mail Order		Retail Shop
	Chain/Department Store		Others

Other business nature (please specify):

Yearly sales/import volume(US$) :

2. Enquiry Details

Products Interested*

:

Please send me

:

	FOB/CIF Prices		Minimum Order Quantity
	Sample Availability		Delivery Time

Other comments/information

:

©copyright 2004 Nylex (Malaysia) Berhad (Company No. 9378-T). All rights reserved.