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Contract Manufacturing Inquiry form
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Contract Manufacturing Inquiry Form
*
indicates required information
Your Name :
*
Company Name:
*
Phone :
*
Fax :
Email :
*
How did you hear about us? :
-- Select One --
Ad - Print
Ad - Web
Mass E-mail
News Article
Press Release
Referral / Word of Mouth
Trade Show
Web Search
Please fill out your manufacturing requirements or interests:
Design Options:
Custom bios/splash screens
Manufacturing
Custom faceplates/bezel
Remote access to appliances
Power consultation
RoHS compliance
Graphical treatments
Serial number integration/asset tracking
Powder-coating
System documentation
Product datasheets
Rapid Prototyping
Production Options:
Deployment Options:
CE certification
Custom invoices and packing list
UL certification
Custom-branded shipping boxes
Custom rail guides
Stocking agreements
Drive imaging and archiving
Worldwide drop-ship capabilities
Support Options:
Onsite worldwide warranty
Onsite warranty for U.S. locations
Are you currently working with an AMAX Account Manager?
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No
If Yes, name of AMAX Account Manager:
Please type the characters you see in the image.
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