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Customer Enquiry Form 1A
Customer Enquiry Form 1B
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Home » Service » Customer Enquiry Form
Customer Enquiry Form 1A
Click here to download pdf version
Please Indicate N.A. (Not applicable) in those sections that are not relevant.
Please attach additional pages if necessary (more information or insufficient space provided)
SECTION 1: COMPANY PARTICULARS
Name of Company (
in block letters
)
Address:
Tel No:
Fax No:
Email:
SECTION 2: CONTACT PERSON PARTICULARS
Name (Mr/Ms/Mrs/Mdm/Dr):
Designation:
Tel No:
Fax No:
Email:
SECTION 3: NATURE OF ENQUIRY (
Please tick appropriate
):
3.1 Services Required
Develop a product
Product registration
Laboratory test
Manufacture Only
Manufacture cum re-packing into finished goods
Re-packing Only
Other service
Others please specify:
3.2 Order Volume /
Lead-time expected
First order qty:
Pack size:
Forecast annual qty:
Lead-time for subsequent delivery:
(specify days/weeks)
SECTION 4: REGULATORY REQUIREMENTS (
Please tick appropriate
):
4.1 Registration Status in
Singapore
& Other Countries
Country:
Registration: (
Yes /
No)
Forensic Class: (
P /
POM /
P+, POM /
G /
)
4.2 Sales
Export Only
Sales in Singapore
If for export purposes, please specify the importing country and the regulatory requirements that Beacons would have to comply with. Any additional documentation required for importation and sales?
