| Your Message: |
| Name: |
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Title: |
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| Company: |
* |
Address: |
* |
| Fax: |
* |
Tel: |
* |
| Web-site: |
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E-mail: |
* |
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| The following information is required: |
| Which of the following best describes your company's primary operation |
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Telecom company / service |
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OEM Manufacturer/Supplier |
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Others |
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| How many employees are there in your corporation? |
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Under 50
50 to 100
Over 100
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| Please mark below all products or systems that you recommend, specify, approve purchase or purchase. |
A.
Media Converter
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B.
Optical Modem |
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C.
Protocol Converter |
D.Optical Multiplexer
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E.Ethernet Switch
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F.Video Converter
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G.Network Adaptor
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H. Passive Components
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| Have you ever been used our products before? |
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Yes
No |
| What types of product you used before? |
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| Do you have plans to order our products? |
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Yes
No |
| What type of product you plan to order? |
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| You plan to order products within |
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1 month
3 month
6 months |
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12 months
24 months
Not sure |
| Your order will be used in |
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Self use
Sale
Both
None of this |
| Your quantity will be |
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One piece as sample
2~10 pieces |
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10~100 pieces
above 100 pieces |
| You plan to order products in terms of |
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FOB
CIF
C&F
Ex-Works
Others |
| You plan to pay products by |
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Letter of Credit
T/T
Cash
Others
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