Name of Company

Name of Contact Person

Address

Tel. No. / Cell No.

Email

Request QuoteRequest BrochureRequest Service / Support

Model Nos.

Min. Sample Weight

Max. Sample Weight

Sample names / types

Industry / Segment
Pharma & BiotechChemical Paint & AdhesivesAgriculture, Food & BeveragesMetal, Plastic & Electronic ComponentsDiamond, Gold & Silver JeweleryRetails & SupermarketsEducation & InstitutesCalibration & Testing labsEngineering, Construction & InfrastructureHealthcare & HospitalityTravel & LogisticsDomestic & Personal

Further requests / Customized requirements (optional)