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