TAKACHI ELECTRONICS ENCLOSURE CO., LTD. Manufacturer of electronics, industrial enclosure
TAKACHI ELECTRONICS ENCLOSURE CO.,LTD.
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FREE SAMPLE REQUEST FORM

*Notes* TAX or DUTY and all other local expenses charging at destination (if any) must be paid by Receiver.

Note that one time free sample request per customer/company and limited amount available.
The freight cost will be paid by a requester.

*Notes* TAX or DUTY and all other local expenses charging at destination (if any) must be paid by Receiver.

* Required field
Product Number(s) * Multiple selection possible
Please suffix Color code at the end of the number.
Purpose and Application *
Company name *
Your name* Mr. Ms.
Address *
City *
State / Province *
Zip / Postal code *
Country *
CNPJ/CPF Tax ID
CNPJ/CPF Tax ID are mandatory for request from Brazil or South Amarican countires.
Telephone *
E-mail *
Web site URL
Courier / Service Type Account number
If you do not have your own courier account, we will quote you some freight options we can offer.
Comment
     

*By clicking on SEND, you (the receiver) will agree to bear full responsibility for payment of any additional costs incurred (if applicable).

 

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