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INQUIRY FORM

 
Customer's Particular:
     
Contact Person
Company Name
Address
Address
           

City

State

  Zip

Country

Other

E-Mail

Web Add.

Phone

Fax

Customer P.O.#: Date:
Port of Destination : Mode of Shipment

Mode of Payment:          
 
Customer's Bank Detail: 
  

Item # Qty Description
                  
 
                  
  
                  
  
                  
  
                  
  
                  
  
                  
 
                  
  
                  
  
                  

Agent Name (if any):  
 
Address    

Delivery Date:        Month:      Year: