Questionnaire


In order to respond your inquiry and request very soon, please fill out the below form completely. We will contact you immediately after receipt of your questionnaire.

Contact Information: (Fields marked with * are mandatory. If no data, please input N/A.)

* First Name:
* Last Name:

* Sex:

Male Female
  Job Title:
* Company:
* Phone: Country Dial Code Area Code -
* Fax: Country Dial Code Area Code -
* E-mail Address:
                                        *example: johndoe@xyz.com
  Web Site:
  Mailing Address:
* Address 1:
  Address 2:
  Address 3:
* City:
  State/Province:
 Zip/Postal Code:
* Country
  Other country:
Inquiry Details:
  1. My Interested Products:

    Foldable Mini Scooter (All Aluminum HW4002A) without suspension
    Foldable Mini Scooter (All Aluminum
    HW4002K) with double suspension
    Electric Skate Scooter (STEEL frame, Aluminum tubes
    HW4101A) with double  suspension 

  2. We plan to order these products:

  3. Please send me the following information:

    ¡@

    FOB prices (for min. order quantity)

    International standards met
    Minimum order quantity Delivery time
    Sample availability/cost    
  4. Our current expected order (quantity) per shipment is:

  5. Your Targeted Price Range:

  6. Comments and Suggestions:

¡@

Business Details:
  1. Type(s) of Your Business:

    Manufacturer Importer      Exporter      Trading Company
    Distributor      Wholesaler Mail Order  Chain Stores   
    Retailer            Agent 
  2. Established Year (YYYY):

  3. Employee No.:               

  4. Approximate Annual Sales Volume in US$:

  5. You currently import from the following countries:
     *Press [CTRL] key and the left key of mouse to do multi-selection.

           Other country:

Designed by Jack Wang, Copyright (C) 2000 [Hwei Jix Hardware Co., Ltd.]. All rights reserved.
Last Revised Date: 2001 / 01 / 19