OncQue Corporation

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The purpose of this survey is to help us understand your application, so that we can offer you the right samples you need. We appreciate your cooperation, and all of your information will be kept confidential.

Your Company:		Contact person:
Tel:	EXT.	Fax:
Email:
Website:
Address:

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

*A. How did you get to know our company?(The visitor must fill in the item.)
WWW- All ProductsB2BManufactures Global Spec Global SourcesAlibaba Others
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!

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