Sample Request Evaluation
	Dear Valued Customers:
	According to the regulations of INCHANGE Semiconductor, Please fill out the following form.
	We will send you the samples within 3 working days,after evaluating your information.
	1	Company Name
	2	Country
	3	Owner of Your Company
	4	Employees person number
	5	Annual Turnover
	6	Area of Your Business (Square Meter)
	7	Purchase Manager
	8	Nature of Business(Distributor,Trade,Factory...)
	9	Products Lines
	10	Transistors selling market (OEM/Repair)
	11	Requested samples Type No. and quantity
	12	Month/annual order quantity for this Samples
	13	Request to send samples by Express (Yes/No)
	14	Your Express Mail Collection Accounting No.
	15	Duration for Feed back confirm samples
	16	Chinese Partners for your purchasing (3 at least)	1
			2
			3
	This page issued by:  Sales Department of INCHANGE Semiconductor China.
	Fax: 86-510-85346750 or 85346280
	E-Mail: wisca@pub.wx.jsinfo.net