Allegro Company

Please fill-in the following particulars : (** means required field.)

Mr Ms

Contact
person:

Job title:

Company:

Tel:

Country
Code

Area
Code

Fax:

Country
Code

Area
Code

Email:

URL:

Mailing
address:

City:

State:

Zip:

Country

Please check your business nature:

Import

Wholesale

Export

Mail Order

Manufacturing

Retail Shop

Chain/Department Store

Others (please specify):

Enquiry Details:
1. I am interested in -

Please send me the following information:
FOB Prices
Minimum Order Quantity
Delivery Time
International Standards met
Sample availability / cost

2. I would like to -

order samples for

(please type in item no.)

This is my courier account information:
	DHL Fed Express UPS Other (please specify)
Account number

	message: