PRODUCT ENQUIRY FORM
Company Name:
Contact Name:
Designation:
Mailing Address:
City:
Zip:
Country:
Phone No:
Fax No:
Email Address:
Product Name & Description:
(Please provide all possible relevant
technical information)
Total quantity required:
For shipments to be effected:
Terms:
Mode Of Shipment:
Required shipment schedule:
Destination Port:
Any Special Shipment
instructions / requirements:
Market Segment:
Application Area:
Any Other comments
/ information required:
Kgs or
mts
To
From
dd/mm/yyyy
Ex Works
FOB
Others ( Please Specify )
CIF
Seafreight
Airfreight
Others ( Please Specify )
Courier
Tyre
Man Made Fibre
Plastics
Pharmaceutical
Other- Please Specify
