| If you have the interest to this company's product and the service, or has the suggestion and the opinion, please fill in the next table. |
| Name: |
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| City: |
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| Particular: |
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| Telephone: |
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| Fax: |
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| Website: |
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| E-mail: |
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| Invites the readout type: |
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| Whether do you need the service: |
yes
no |
| suggestion or the opinion: |
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