Company Name :
________________________________________________________________________
Address
: Bldg.
________________________________________________________________________ Street ________________________________________________________________________ Region ________________________________________________________________________
Tel : _________________________________ Fax : _______________________________
Web Page :
________________________________________________________________________ E-Mail Address :
________________________________________________________________________ Business Nature :
Importer Exporter Manufacturer
Wholesaler Retailer Buying Office
Agent Distributor Other___________________
Freight Forwarder
___________________ Products/Services Details :
___________________________________________________________________
____________________________________________________________________ General Manager :
_____________________________________________________________________
Contact Person : _____________________________
Position : _______________________________ Established Year : ___________No. of Employees : ___________Annual
Turnover : _________________ I would like to certify that
I agree to insert the above information in 2004 edition & agree with one
third price ordering the above Guide. Name :
_________________________________ Title :
_________________________________ Date :
_________________________________ _____________________________________
Signature / Company Chop
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Title: Dear Director / General Manager,

