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VIRTUAL EXPO TRADE ENQUIRY / PURCHASE ORDER FORM

Please complete the relevant fields in this form ( * these fields must be completed)

Date of Trade Enquiry / Purchase Order : 04-09-2010

Section 1. EXPO ENQUIRER'S / PURCHASER'S DETAILS / COMPANY INFORMATION

Your Company Name :

Your Name :*
Company No./Reg No. :

Address : *

City/Town : *

State : *

Post Code : *

Country : *

Telephone : *

Fax :

Other No (H/P, Telex,Pager,etc.):

Company Website :

Company E-mail:

CEO/Director/Owner/Partner :

Contact Person :

Position of Contact Person :

E-mail of Contact Person :

Year of Incorporation :
Business Entity
Public Co. Private Ltd.
Partnership Sole Proprietorship
Association/NGOs/Club/Others Government Bodies & Agencies
Nature of Business
Import Chain/Dept Store
Export Wholesale/Distributor
Manufacturing Retail/Trading/Marketing
Direct Selling/Multi-Level SOHO (Small Office Home Office)
Engineering/Construction Services/Consultancy

Others (please specify):

Your Business Activities / Categories /Main Industry /Products or Services Description

Other Important Details ( Brands, Branches, Factory address, Other Persons to contact, etc.)

Section 2. DETAILS OF EXPO ENQUIRY / PURCHASE ORDER
Trade Enquiry Purchase Order (Buyer/ Importer) *
Pick Item
Product Description/Services*
Qty
Unit Price (Currency)
Amount
(Currency)
Tax
(%)
Tax
(Amt)
Unit Wt (Gm)
Total Wt
(Gm)


Delivery Method :*

Delivery Time(Days) :

Method of Payment :
If other method of payment, please specify:

Other Products or Services interested / confirmed to buy (import) from this Expo, or any other trade enquiry / information you wish to obtain or provide:


OTHER INFORMATION/COMMENTS
(Please include any additional information useful for this trade enquiry/purchase order)


* * *Please make sure that you have selected all the products /services you wish to enquire or purchase before clicking the "Submit" button. Otherwise, every additional Submission will be treated as a separate Enquiry or Purchase Order

DISCLAIMER CLAUSE :
The information in this form is provided "As Is" without warranty of any kind.
Malaysia-Industry Dot-Com Sdn Bhd (MIDC) made no representations about the suitability of the information contained in this form submitted to you.  MIDC disclaim all warranties and conditions with regard to this information, including all implied warranties and conditions of merchantability, fitness for a particular purpose, title and non-infringement.  In no event, shall MIDC be liable for any special indirect or consequential damages whatsoever resulting from loss of use, data or profit, whether in action or contract, negligence or other tortuous action, arising out of or in connection with the use or performance of information available from this form.


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