1.Company Name
2.Name
3.Title/Position
4.Street Address
5.City, Country, Postcode
6.Email
7.Web Site URL
8.Telephone ( Including Country/City code)
9.FAX ( Including Country/City code)

10.What is your type of business?
Manufacturer ResellerVAR End-userSystem integrator Others

Main Product Lines/Services


Main Application:

Industrial automation	Bank/ATM	Telecom	Entertainment
Medical PC	POS	Education	Kiosk

Your Product needs are:
Immediate In 3 to 6 months Future

Annual Turnover

Under 50,000	500,000-1 million	10-20 million
50,000-100,000	1-5 million	20-50 million
100,000-500,000	5-10 million	Over 50-million

No of Employees
< 5 < 10 < 20 < 30 < 50 over 200 over 400

How do you know about our Web Site? From :
Magazine
Web Searching Engine
Shows
Others

Please list your three IPC suppliers in Taiwan
None

Model Numbers interested & Your comments.