Lorill Electronic Sales, Inc. Customer Response Card
Please take a few minutes to fill out this form so we can tailor an information package for you. You can also contact us at (714) 770-2637, by email at
info@lorill.com
.
I am interested in:
Axon Cable Group
FotoFab
MicroMetal
SatCon Electronics
Techprint
Weiss-Aug
General Information:
Name:
Title:
Company:
Address:
City:
State/Province
Zip
Country:
Phone:
Fax:
Email:
Please send me the following information:
Sales Literature
Technical Specs
Company Profile
My requirement is:
Immediate
60-90 days
4-6 mos
1 Year
Project Status:
Design
Preproduction
Production
Service/Test
MRO
Please contact me by:
Email
Regular Mail
FAX
Phone
Comments on site:
Good
OK
Poor
Please cross competitive part number:
Manufacturer:
Estimated Annual Usage:
Sample Quantity:
The best time to contact me is:
Questions or Comments:
Please Click on SEND when complete!
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