INQUIRY FORM
 1 of 4 : Personal Details ( * fields must be filled )  
* Name    [ Mr. Ms. ]
* Job Title 
* Company 
* Dept / Division 
* E-mail 
* Address 
* Country 
   City / State  Postcode   
   Telephone No.  Fax No.  

 2 of 4 : Products for Inquiry Information
 a. Facial Cotton
 b. Cotton Bud
 c. Cotton Ball
 d. Cotton Wool
 e. Cotton Jumbo Roll
 f. Cotton Sliver Roll


 3 of 4 :
Please send me the following
 a. FOB prices (for min. order quantity)
 b. Minimum order quantity
 c. Sample availability / cost

 d. Delivery time



 
4 of 4 : Remarks / Questions



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