Customer Inquiring Sheet

 Your Company Name: 
Your Name:
Phone: ext.
Fax:
E-mail:
Service Requirement:
QTY:
EAU:
(Estimated Annual Usage)
*Other Instructions:
*Attachment:
* Optional

Phone: 408-236-3455   Fax: 408-493-4436 e-mail: sales@peiusa.com

2530 Berryessa Road #617, San Jose, CA 95132, U.S.A.