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1. Basic information

* Contact Person:  

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Company Name:  
Your company Website:  
Telephone number:  
Fax number:  
* Email address:   (You must fill it)

2. Your business type:

3. The Annual revenue of your company:

4. How many employees do you have?

5. What are the products that you carry now?
Multimedia 3D Gaming
USB Wireless
Others (please specify):

6. Which of the following ASMART lines are you Interested in and what is the expected Q'ty per month?
AS-FX5600-128DT8XV Pcs
AS-FX5200-128DT8X Pcs
AS-FX5200-64DT8X Pcs
AS-TI4200-128DT8XV Pcs
AS-TI4200-128DT8X Pcs
AS-TI4200-64DT8X Pcs
AS-TI4200-128DTV Pcs
AS-TI4200-128DT Pcs
AS-TI4200-64D Pcs
AS-MX440-64DT8XV Pcs
AS-MX440-64DT8X Pcs
  AS-MX440-128DT8 Pcs
  AS-MX440-128DT Pcs
  AS-MX440-64DT Pcs
  AS-MX440-128ST8 Pcs
  AS-MX440-64ST8 Pcs
  AS-MX440-128ST Pcs
  AS-MX400-64ST Pcs
  AS-MX400-64D Pcs
  AS-MX-400-64S Pcs
  AS-MX400 Pcs
  AS-MX-400-64PCI Pcs
Other: , Pcs

7. How should Asmart contact you?
Call/Fax you
E-mail you

8. Comment:


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