The asterisked (
*
) marked fields are compulsory
Company Name
*
:
Address
*
:
Type of Company
*
:
Public
Private
Partnership
Proprietory
Other :
Activity
*
:
Manufacturing
Trading
Other :
Contact Person
*
:
Mr. / Ms.
Designation
:
Tel. No.
*
:
,
(pls include area code if outside Mumbai)
E - Mail
:
Fax:
Product Interested in
*
:
Terminal Blocks
Push Buttons
Indicator Lights
Annunciator Windows
Enclosures
Electronic Hooters
