I) Please answer the following questions by checking into the appropriate box:

A. How did you get to know our company?
WWW-Search Engine, Name:
WWW-Business Promotion Site, Name:
Printed Material, Name:
Others, Name:
B. Please provide us with your company information as below.
1.Type of business?		2.Company's annual sales (US$)?
Manufacturer	Distributor	Up to 100K	10 - 50 Mil.
Design Co.	Agent	100K - 1 Mil	50 - 100 Mil.
Trading Company	Consultant	1 Mil to 5 Mil	50 - 100 Mil
Others:		5 Mil - 10 Mil.
3.Annual purchase in switch components(PCS)?		4.Number of employees?
Below 10K	100K - 500K	1 - 10	501 - 1,000
10K - 50K	500K - 1 Mil.	11 - 100	1,001 - 2,000
50K - 100K	Over 1 Mil.	101 - 500	Over 2,000

II) About Product Application:

A. What is your application or product? What is the actuation detail? (Please specify the details, so that we can suggest the suitable items for your evaluation.)
Your Product/Application (What kind of motion you want to detect):
Actuation/Function Detail:
B. Specfictation Request:
1.			Normal Open (Off)
			Normal Close (On)
			Both Normal Open or Close are OK
2.			Switching voltage:
3.			Switching Current:
4.			Contact Resistance:
5.			Operation Temperature:
6.			What is the "conductive rate" you need, close to 95%, 98% or 100%? (Remarks: Conductive Rate - To test the conductivity (OFF switch to ON) of one switch individually for 100 times, if the switch conductive 90 times, we call the "conductive rate" is 90%. The conductive rate of optical type switch is almost 100% and of contact type switch is min. 90%)

III) Request for Sample & Quotation:

A. Item No. / Quantity :
Item No.:		Qty.: pcs
Your courier (FedEx, UPS, DHL, TNT) account number: (If you want us to ship by your courier collect pls provide)
B. Estimate formal order quantity?
pcs / Month.
pcs / Year.
pcs / 1 shot order.
Other:
C. Estimate formal order date:
(Ex: 2006/09)
Verification Code
Please type these letters into the box

This is the end of the survey. Thank you for your cooperation!