Request for Quotation Fields marked * should necessarily be filled for acceptance of the form. To be able to send this request your browser should support form submission on your PC. All information that is filled out below is treated highly confidential and will only be used by responsible CDIL personnel. Neither your name nor address will be used for any other purpose than for the information you request to be sent.
Company Name*
Contact Person*
Position
E-mail*
Location/Address*
Telephone Number*
Fax Number
Your Activity*	OEM EMS Distributor/Dealer/Rep Consultant Design House
Application*	--Select-- Industrial Medical Home Appliance White Goods Automotive Audio Video Telecom Others
New Project	Yes No
Enter Project Name	(optional)
Project Stage	Concept Design Prototype Pre Production Production
Estimated Production Start	Immediate 1-3 Months 4-6 Months 7-12 Months Over 12 Months
Please enter device(s) requirement below. Alternatively you may attach your requirement list by using attach link at end.
Device Part Numbers	Total Quantity Per Device	Quantity Per Month (optional)	Quantity Per Shipment
CDIL P/N Industry Type P/N Special*	Pieces K Pieces	Pieces K Pieces	Pieces K Pieces
Desired shipment date*
Is it convenient for you to make available two pieces of your device samples.In case of special device only.	Yes No
Tolerance (In case of Zeners)	(optional)
Additional Information and/or Critical Parameter for Specials
"To attach a copy of your list of requirements please click Here."
Attached Filename(Shows attached file )