Company Name	:
Contact Person	:
Street Address	:
City, Country, Postcode	:
Tel No	: Country code/Include City
Fax No	: Country code/Include City
E-mail	:
Web Site	:

Type of business     :
	Manufacturer/OEM	Wholesale
	Importer	Dealer
	Buying Agent	Storefront Retailer
	Distributor	Other

 

Please specify a field of interest:
	Aluminum Electrolytic Capacitors
		SMD  Type	Radial  Type
		Snap In  Type	Screw  Type
		Axial  Type	Photo Flash
	Capacitors	Chip Capacitors	Multilayer Ceramic Capacitors
		Disc Ceramic Capacitors	Film Capacitors
	Resistors	Chip	Chip Array
		Metal Film	Carbon Film
		Cement	Wire wound
		Semi-Fixed	Jumper
		Rotary Potentiometer	Slide Potentiometer
		Metal Oxide Film	Fusible Metal Film
		Metal Plate Cement	High Meg Metal Glaze
	EMI Parts	Beads	Inductors
	Networks	Capacitor Networks	Diode Networks
		Resistor Networks	R/2R Ladder Networks
	Connectors	Terminal Block	Pin Header
		Housing / Wafer/Terminal	IC Socket
		Jumper
	Varistors	SMD type	Radial type
	Other	Please Indicate :

Usually I have bought products  From  :
	America	Asia
	Europe	Mainland China
	Taiwan	Other

Required response :
	Send me an introductory fax ,I want to know more about your company and products.    Send me the latest catalogue for above items, which I am interested. Quote me the most competitive price on the above items, which I am interested.

Special  Request :