APPLICATION CONFIRMATION

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Please kindly confirm the below information before ordering :

Sales Man :   Quotation No :  

 Enquiry Date :     Enquiry from :   H.P :   Email :

Attached the original enquiry : yes    no (We recommend you should attach the original enquiry )

1. Customer Information : 

 Company Name :    Tel :    Fax :

Purchasing Name :   H.P :   Email :  

Technical Name : H.P :    Email :  

2. Problem :

Model :

Your order number :       Order Date :  

Using Date :   

Customer read instruction manual : yes no

Customer follow instruction manual : yes no

Status (problem) :