Free Sample Request Form

Please fill in this form to request your free sample of the ADH1610 Presaturated Isopropyl Alcohol Cleaning Wipe
You may use this form to contact us for further information. We are constantly updating and expanding our product range. The best way to stay abreast of developments is to ensure that your details are retained on our mailing lists. These fields are required.
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What is the nature of your company's business? What do you make or do?


What is your company involved in? Please tick as many as applicable.
	PCB Assembly	Surface Mount
	Wave/Dip Soldering	Optics/Fibre Optics/Glass
	Bare PCB Fabrication	Rework, Repair, Field Service
	Semiconductor Manufacture	Adhesives
	Microelectronics, Hybrid Manufacture	General Industrial
	Components Manufacture/Distribution	Medical Assembly
	Coils/Transformers/Loudspeakers	Conformal Coating
What is your company's main product?
	Computer and Related Equipment	Office/Business Equipment
	Telecoms Equipment and Systems	Independent Labs/Consultants
	Instrumentation	Government Labs or Dept
	Consumer Products	Other Industries - not Electronic/ Electrical Manufacturing
	Components/Materials/Hardware	Education
	Industrial Control Systems	Power Supplies
	Aerospace	Medical
	Marine Electronics
How many people does your company employ?
	1 - 49	100 - 499
	50 - 99	500+

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We reserve the right to qualify all free sample requests. Privacy statement: INTERTRONICS will not disclose this information to any third party unless required by law, regulation, court order, or legitimate administrative purpose. Any information which you provide will only be used by INTERTRONICS in order to provide you with a more customised and efficient service. You may receive product information and updates from INTERTRONICS periodically, and have the right to opt-out of these communications at any time.

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August 2007
Version 1.0

adhere - better bonding from intertronics

17 Station Field Industrial Estate, Banbury Road
KIDLINGTON, Oxfordshire, OX5 1JD, ENGLAND
Tel: +44 1865 842842 Fax: +44 1865 842172 info@intertronics.co.uk

Statements, technical information and recommendations contained herein are based on tests we believe to be reliable but they are not to be construed in any manner as warrantees expressed or implied. The user shall determine the suitability of the product for his intended use and the user assumes all risk and liability whatsoever in connection therewith.