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PRODUCT NAME*

CAS NUMBER*

DG / NON DG

UN PACKAGING REQUIRED YES/NO * Yes No

QUALITY/GRADE/REACH CERTIFIED

MY PRODUCTION CAPACITY IN KG: *

PACKAGING / DRUMS / ISO TANKS ETC

PORT OF LOADING

COUNTRY OF ORIGIN

QUANTITY AVAILBLE FOR SALE /EXPORT

MY COMPANY NAME / ADDRESS / COUNTRY/WEBSITE

BY AIR SHIPMENT IS POSSBILE / YES/NO

MY NAME & DESIGNATION

MY EMAIL ADDRESS

MY MOBILE /WHATSAPP NUMBER

ACCEPTED PAYMENT TERMS

MY GUARANTEED SPECIFICATION BY GC/HPLC, IF ANY