|
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 |
| |
|
|
