Application Form

Representative Application Form

Company Information
* Company:
Country:
* City:
* Address:
* Phone:
( Please enter full telephone number, including Country code, Area code )
Fax:
( Please enter full Fax number, including Country code, Area code )
Web Site:
( Including http:// )
CEO/President:
Established:
Capital:
Bank detail:
Annual Business Volume:
Number of Employees:
* Current Product:
* Have you already had RF product in your line card ?  Yes     No
     If yes, please indicate your source of them  
     How long have you been having this line ?  
Information of Contact Person
* Name:
* Gender:  male      female
* e-Mail:
Phone No./ Ext. No.
Main Market:
Interested Product
Others:
Interested region and reason:
Proposal Plan: