CUSTOMER RESPONSE FORM


1) Your Company details :

Company              
 
Name                   
 
Designation        
 
Address              
                              
 
Telephone No.    
 
Fax No.                 
 
Email                    
 
 

2) Product that your company manufactures :

a)  
 
b)  
 
c)  
 

3) Main raw material used :

a)  
 
b)  
 
c)  
 

4) Do you currently use :

a) Heat shrink tubings Yes  No If Yes, source Local    Imported
 
a) Connectors & Terminals Yes  No If Yes, source Local    Imported
 
c) Flat Cables Yes  No If Yes, source Local    Imported
 
d) Speciality Wires Yes  No If Yes, source Local    Imported
 
e) Copper Wires Yes  No If Yes, source Local    Imported
 
 

5) What is your current consumption :

TOTAL QUANTITY
(TONES/KM)
SIZE WISE
BREAK DOWN
 
a) Heat shrink tubings
 
b) Connectors & Terminals
 
c) Flat Cables
 
d) Speciality Wires
 
e) Copper Wires
 
 

6) What brochures would you like us to send to you ?

a)  
 
b)  
 
c)  
 

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