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Inquiry Application              Campaign Code:
Basic information (" * " Mark is must-have information)
   Submitted Date(提送日期) :          (YYYYMMDD)
* Company Full Name(公司名) :     (English)
   Company Full Name(公司名) :     (Chinese)
   Customer Short Name(公司簡稱):
   Address(公司地址): 
   Post/Zip Code(郵遞區號) :                        Country(國家):
* Contact Name(聯絡人姓名):       
   Title(職稱): Division(部門名稱): Employees(公司人數):
   Company Telephone No.(公司電話) :
* E-mail :
  Web URL(公司網址):
Order Free Samples
* Your Application(您的應用) :
   Information Source(消息來源):(AverLogic's EDM / Internet / Tradeshow / News / Others)
* Request Product
AverLogic Product
(產品名稱)		 Qty/Sys
(每板需求數量)		 Estimated Annual Q'ty
(年需求量)		 Target price
(目標價格)