Tell Us About Your Surplus / Excess Equipment and Spare Parts
Please fill out the following blanks, we will be back to you ASAP once your inquiry is received.
*Online inquiry system supports SSL(Secure Sockets Layer) is a protocol that provides secure communications on the Internet for data transfers. A secure connection prevents hijacking by protecting the cookie session, even if you access on a non-secure Internet connection, such as a public wire less or non-encrypted network.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Title *
Job Title *
CTO, CIO, Buyer
Company Name *
Address and Postal Code *
Location *
e.g. UK, USA, Hong Kong
Work Phone *
Mobile Phone *
Fax Number *
Website *
Part Number / Model Number *
00341258-03, NXT, CM602
Part Name / Machine *
e.g. Feeder, AOI, SMT placer
Brand *
e.g.FUJI, KME, SIPLACE
Vintage *
e.g. 2005, 2006, 2008
Serial Number *
e.g. KX-IU-0098
Hours/Cycles *
e.g. 400 Hours
Equipment Location *
e.g. Kawloon, Hong Kong
Equipment Condition *
Asking price *
e.g. Ex-work Dublin, Ireland. CIF Hong Kong
Description *
Please describe your requirement in the box below.
P.S. You can upload files to us via Google Accounts only, here is the link for your reference(OPEN IN NEW WINDOW / TAB).
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SMTBOX - One Box, All SMT Spare Parts.

Does this form look suspicious? Report