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Sample Request
Manufacturers Part Number
Description
Sample Quantity
Project Name
Expected Usage
Time to Production
Name
Company
E-mail
Telephone
Fax
Address
Post Code
Department
A - Accounts
E - Engineering
P - Purchasing
S - Sales
Other (Please specify)
Job Description
A - Accounts
B - Buyer
C - Consultant
E - Engineer
MD - Managing Director
M - Marketing
PM - Purchasing Manager
PRM - Production Manager
S - Sales
SB - Senior Buyer
TD - Technical Director
Other (Please specify)
Into which Industrial Sector do the majority of your products go?
Government and Public Services
Access Control/Time Attendance
Kiosk
Gaming
Car Parking/Transport
Vending
Corporate Security
EPOS Retail
EPOS Software
Education
Telecoms and Wireless
Test and Measurement
Supplier
Petrol Vending and Forecourt
Medical Equipment
Loyalty Schemes and Applications
E-Commerce
Value Added Reseller
Computer Peripherals
Distributor
Leisure, Retail and Loyalty
Other (Please specify)
Turnover of organisation
Below £1M
£1M+
£5M+
£25M+
