Enquiry & Order Form

Yixian Mouldtech Industries Sdn Bhd

Lot 1984, Jalan Pulau Carey, 42500 Telok Panglima Garang, Selangor Darul Ehsan, Malaysia

Telephone: 603-3122 0617 Fax: 603-3122 0769 Email: yixian@mi.com.my Website: http://yixian.mi.com.my

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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 : 29-11-2005

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)
Category : AUTO PARTS
	#A1		Call for pricing		0.00		0.00
	#A3		Call for pricing		0.00		0.00
	#AL2		Call for pricing		0.00		0.00
	#AL5		Call for pricing		0.00		0.00
Category : BASIN
	BASIN		Call for pricing		0.00		0.00
Category : BEDROOM (PU)
	#919		Call for pricing		0.00		0.00
	#919F		Call for pricing		0.00		0.00
	#919H		Call for pricing		0.00		0.00
	#919H(8)		Call for pricing		0.00		0.00
	#919M		Call for pricing		0.00		0.00
	#959		Call for pricing		0.00		0.00
	#959F		Call for pricing		0.00		0.00
	#959H		Call for pricing		0.00		0.00
	#959M		Call for pricing		0.00		0.00
	#Cleopatra		Call for pricing		0.00		0.00
	#Cleopatra		Call for pricing		0.00		0.00
	#Cleopatra		Call for pricing		0.00		0.00
	#Legend		Call for pricing		0.00		0.00
	#Legend		Call for pricing		0.00		0.00
	#Legend		Call for pricing		0.00		0.00
	#Meribel		Call for pricing		0.00		0.00
	#Meribel		Call for pricing		0.00		0.00
	#Meribel		Call for pricing		0.00		0.00
	#Palace		Call for pricing		0.00		0.00
	#Palace		Call for pricing		0.00		0.00
	#Palace		Call for pricing		0.00		0.00
Category : COFFEE TABLE (Stone)
	AFRODITE		Call for pricing		0.00		0.00
	ALPHA		Call for pricing		0.00		0.00
	ANDROMO		Call for pricing		0.00		0.00
	CALLA		Call for pricing		0.00		0.00
	CAPRICCIO2		Call for pricing		0.00		0.00
	CASANOVA		Call for pricing		0.00		0.00
	CIGNO		Call for pricing		0.00		0.00
	DUNE		Call for pricing		0.00		0.00
	FARFALLA		Call for pricing		0.00		0.00
	GROTTA		Call for pricing		0.00		0.00
	MEDUSA		Call for pricing		0.00		0.00
	MICENE		Call for pricing		0.00		0.00
	OLIMPIA		Call for pricing		0.00		0.00
	ONDA		Call for pricing		0.00		0.00
	TRIONFO		Call for pricing		0.00		0.00
	TROPEA		Call for pricing		0.00		0.00
	ULISSE		Call for pricing		0.00		0.00
	VENICE		Call for pricing		0.00		0.00
	VERTIGO		Call for pricing		0.00		0.00
	VESPRO		Call for pricing		0.00		0.00
	VESPUCCI		Call for pricing		0.00		0.00
Category : CONSOLLE & MIRROR (Stone)
	IMPERO		Call for pricing		0.00		0.00
	ROSE		Call for pricing		0.00		0.00
Category : CORNER TABLE (Stone)
	FOREVER		Call for pricing		0.00		0.00
	VESPUCCI		Call for pricing		0.00		0.00
Category : DINING TABLE (Stone)
	DOGE		Call for pricing		0.00		0.00
	IMPERO		Call for pricing		0.00		0.00
	MICENE		Call for pricing		0.00		0.00
	MICENE Chair		Call for pricing		0.00		0.00
	ROSE		Call for pricing		0.00		0.00
	ROSE Chair		Call for pricing		0.00		0.00
Category : ENTERTAINMENT UNIT (PU)
	Entertainment Unit		Call for pricing		0.00		0.00
Category : FLEXIBLE PARTS
	Flexible Parts		Call for pricing		0.00		0.00
	Flexible Parts		Call for pricing		0.00		0.00
	Flexible Parts		Call for pricing		0.00		0.00
Category : FURNITURE COMPONENTS (PU)
	Kitchen-ware		Call for pricing		0.00		0.00
	Kitchen-ware		Call for pricing		0.00		0.00
	Polyurethane furniture components		Call for pricing		0.00		0.00
Category : MIRROR FRAME (PU)
	#727M		Call for pricing		0.00		0.00
	#808M		Call for pricing		0.00		0.00
	#809M		Call for pricing		0.00		0.00
	#908M		Call for pricing		0.00		0.00
	#939M		Call for pricing		0.00		0.00
	#989M		Call for pricing		0.00		0.00
	#B020M		Call for pricing		0.00		0.00
	#B501M		Call for pricing		0.00		0.00
	#S0M		Call for pricing		0.00		0.00
	#U0M		Call for pricing		0.00		0.00
Category : TABLE BASE (PU)
	Table Base		Call for pricing		0.00		0.00
	Table Base		Call for pricing		0.00		0.00
	Table Base		Call for pricing		0.00		0.00
	Table Base		Call for pricing		0.00		0.00
	Table Base Parts		Call for pricing		0.00		0.00
Category : WALL ART (Stone)
	#E19		Call for pricing		0.00		0.00
	BAS-RELIEF		Call for pricing		0.00		0.00
	BAS-RELIEF		Call for pricing		0.00		0.00
	BAS-RELIEF		Call for pricing		0.00		0.00
	CALLA		Call for pricing		0.00		0.00
	CLOCK		Call for pricing		0.00		0.00
	CREAZIONE		Call for pricing		0.00		0.00
	EDEN		Call for pricing		0.00		0.00
	LAST SUPPER		Call for pricing		0.00		0.00
	MADONNA		Call for pricing		0.00		0.00
	PERGOLA		Call for pricing		0.00		0.00
	PLANISFERO		Call for pricing		0.00		0.00
	PUTTI		Call for pricing		0.00		0.00
	VILLA VENETA		Call for pricing		0.00		0.00
Category : WARDROBE/CABINET (PU)
	Bedroom Set		Call for pricing		0.00		0.00
	Cabinet		Call for pricing		0.00		0.00
	Side Cabinets		Call for pricing		0.00		0.00
	Wardrobe		Call for pricing		0.00		0.00
Total Amount :
Add: Sales / Service Tax:
Total Amount Including Tax:

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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