Name

Position in Company

Company Name

Company Address


Post/Zip Code

Country

Telephone

Fax

Is this your company's head office? yes no
What is your company's annual turnover in $U.S.?
Number of employees in company worldwide?

Tick one category that best describes your company's industry classification:

chemical & allied industry
plastics and rubber raw materials
domestic appliances
electrical/electronic engineering
automotive/transport equipment
aerospace equipment
instrument engineering
plastics semi manufacture
plastics, floor coverings & buildings products
sports & leisure
dealers, agents & distribution
rubber moulded products
medical products
furniture
machinery manufacturer
household goods
material manufacturer
government/associations
other plastic products (please specify)

Tick the type of manufacturing process which is used:

injection moulding
Extrusion
Blow Moulding
Reinforced Plastics
Compression/Transfer
Thermoforming
Compounding/Formulating
Roto-Moulding
Foam Processing
Other

Tick the category that best describes your job function with the organisation:

production/manufacturing engineering
machine operator
design or design engineering
purchasing
research and development
general or corporate management
owner/operator
consultant
quality control
other (please specify)

Now print out this form and fax it to +44 1892 839205, or alternatively post it to:
injection moulding asia
the stables, willow lane
paddock wood
kent, tn12 6pf
UK

or email [email protected] to request your free copy!