Inquiry Asterisk indicates a required filed. * Company Name: Address: * Telephone No.: Fax No.: * Contact Person: Position: * Email: Final Decision Maker Recommendatory End-user Please arrange your representative to call me for an appointment as soon as possible. Interested in the following chemicals with estimated requirements per month: Sulfuric Acid - T.G. & C.P. (H2SO4) less than 5MT 5-10MT 10-20MT more than 20MT Hydrochloric Acid - T.G. (HCI) less than 5MT 5-10MT 10-20MT more than 20MT Caustic Soda-flakes & liquid (NaOH) less than 5MT 5-10MT 10-20MT more than 20MT Sodium Hypochlorite (NaOCl) less than 5MT 5-10MT 10-20MT more than 20MT Ferric Chloride (FeCl3) less than 5MT 5-10MT 10-20MT more than 20MT Ferrous Sulfate Solution (FeSO4) less than 5MT 5-10MT 10-20MT more than 20MT Aluminum Sulfate-lumps & liquid (Al2(SO4)3) less than 5MT 5-10MT 10-20MT more than 20MT Soda Ash-light & dense (Na2CO3) less than 5MT 5-10MT 10-20MT more than 20MT Calcium Hydroxide (Ca(OH)2) less than 5MT 5-10MT 10-20MT more than 20MT Other Industrial & Waste Water Treatment chemicals, please specify or fax separate list Special preparation & concentration chemicals, please specify or fax separate list Application of Chemicals: Production/Process H2SO4 HCl NaOH NaOCl FeCl3l FeSO4 Al2(SO4)3 Others Maintenance H2SO4 HCl NaOH NaOCl FeCl3l FeSO4 Al2(SO4)3 Others Facilities H2SO4 HCl NaOH NaOCl FeCl3l FeSO4 Al2(SO4)3 Others Water & WasteWater Treatment H2SO4 HCl NaOH NaOCl FeCl3l FeSO4 Al2(SO4)3 Others Trading/Service Item H2SO4 HCl NaOH NaOCl FeCl3l FeSO4 Al2(SO4)3 Others Others, please specify Mode of Delivery: carboy drum tanker/lorry bags/sacks Others, please specify Approximate delivery date required: Other special instructions:
* Company Name:
Address:
* Telephone No.:
Fax No.:
* Contact Person:
Position:
* Email:
Final Decision Maker
Recommendatory
End-user
Please arrange your representative to call me for an appointment as soon as possible.
Interested in the following chemicals with estimated requirements per month:
Sulfuric Acid - T.G. & C.P. (H2SO4)
less than 5MT
5-10MT
10-20MT
more than 20MT
Hydrochloric Acid - T.G. (HCI)
Caustic Soda-flakes & liquid (NaOH)
Sodium Hypochlorite (NaOCl)
Ferric Chloride (FeCl3)
Ferrous Sulfate Solution (FeSO4)
Aluminum Sulfate-lumps & liquid (Al2(SO4)3)
Soda Ash-light & dense (Na2CO3)
Calcium Hydroxide (Ca(OH)2)
Other Industrial & Waste Water Treatment chemicals, please specify or fax separate list Special preparation & concentration chemicals, please specify or fax separate list Application of Chemicals:
Application of Chemicals:
Production/Process
H2SO4
HCl
NaOH
NaOCl
FeCl3l
FeSO4
Al2(SO4)3
Others
Maintenance
Facilities
Water & WasteWater Treatment
Trading/Service Item
Others, please specify
Mode of Delivery:
carboy
drum
tanker/lorry
bags/sacks
Others, please specify Approximate delivery date required: Other special instructions: