Contact Person : Mr. Abdul Sami Piracha (M.D.),
Mr. Mohammed Waseem Piracha (Director),
Mr. Muhammad Saleem Paracha (Director),
Ms. Chongchit Prompraphant (Director)
  Address : 44/14-15 Sukhumvit Soi 46, Bangkok 10110 Thailand
  Tel : +66 2391 1208 / +66 2391 4612 / +66 2712 1466
  Fax : +66 2391 4684
  E-mail : asian786@loxinfo.co.th
aue786@yahoo.com
  Web site : www.aue.co.th

   
  General Inquiry Form
 
  Fields marked with are mandatory
 
  Check this box to send this inquiry to your e-mail address
 
  1. Message to supplier(s) :
 
  2. We plan to order this product :
 
  3. Our current expected annual order (quantity) is :
 
  4. Please send me the following information
 
FOB Prices (for min. order quantity
Minimum order quantity
Sample availability/cost		 International stand
Delivery time
 
  Your Contact Details :
 
First Name :
Last Name :
Job title :
Company
Telephone number  
 
Country Code Area Code -
  Fax number
 
Country Code Area Code -
 
E-mail address
 
  Mailing Address :
 
Address 1 :
Address 2 :
Address 3 :
State / Province
Zip Code
Country
 
  Your Business Details :
 
  1. Your business function is mainly :
 
  2. The year your business was established :
 
  3. You sell to the following types of customers (check all that apply) :
Distributors / Wholesales
Dealers
Corporate end-users
Manufactures
Retailers
Individual end-users
other :
 
  4. Your company's approximate yearly sales volume in US$ :
 
  5. Your currently import from the following countries :