Sales Enquiry Form

Company Name *
Salutation
First Name *
Last Name *
Email *
Mobile Number
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Ship to Destination *
Additional Ship to Destination
Which industry are these glove being supply/used (please specify)?
Medical
Dental
Food Service
Industrial Factor
Private hospital tender
Ministry of health
Government hospital tender
Cleaning
Others
Any special requirements for the glove?
1. Any 3rd party inspection required?
2. Which is the inspection agency (SGS, Intertek, BV, or others)?
3. What is the basis of the inspection (Full ASTM/Half ASTM/EN/Other)?
4. Any inspection required by the country's MOH or relevant health authorities like Water Tight Test?
5. Any standard applicable for these gloves (EN/ASTM/ISO/ABNT/FOOD/Other)?
6. What is the reason for sourcing new supplier (Price/Quality/Service/Delivery/Other)?
Estimate volume in past 6 months in term of pieces of glove *
Payment term (TT Advance/LC/Other) *
Icoterms (FOB/CIF/C&F/Other) *
Other comments

Online Dealership Application Form

Online Sales Enquiry Form

Online General Enquiry Form