General Info Member Info  
   
 
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From: *
Separate multiple recipients with a semicolon (;)
Cc:
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Subject: *
Model Number: 5910
Product Name: Chai Hu
Number of Samples: *
(example: "1000" not "1,000")
Product's Sample Policy: We offer samples of selected products upon customer's request. Please contact us and we will be glad to discuss your request.

All sample shipments will be either by air or by sea. All costs, including merchandise, taxes and shipping, will be paid by the customer.

I'll pay for the sample: Yes No *
I'll pay for the shipment: Yes No *
Preferred Courier: Other:
Courier Account Number:
Describe the product(s)
and the type of
information you want to
receive:

Example: Product information, Company details, Tradeshow schedule, etc.
List the countries you retail or export to (Sales Market):
Sample Deadline:
 
   Company Information  
 
Company Name:  *
Tell the supplier about your company:
Headquarters Location:
Company Website:
 
   Contact Details  
 
Title: Mr. Ms. Mrs. Dr.
First/Given Name:  *
Family Name:  *
Job Title:

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Address Line 2:
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