DSM Industries Trichy - Information Request Form

Request DSMIT Product Information

We, at DSM Industries Trichy, are very interested in doing business with you. We would like to take this opportunity to know how we can help you understand our product line better.

Your Name (Required)
Company Name (Required)
Street Address (Required)
City (Required)
State/Province (Required)
PIN/Zip/Postal Code (Required)
Country (if outside India)
Phone Number
Fax Number
Email Address (Required)

Please indicate the products which you are interested in:

	DSMIT Pumps Division Domestic and Industrial Pumps Mono Bloc Pumps Submersible Pumps Jet Pumps Centrifugal Pumps (We can custom design and supply as per requirements) If you have any special requirement, please let us know Deep Well Hand Pumps India Mark II India Mark III DSMIT® Mark IIx EZ-PackTM DSMIT® Mark IIIx EZ-PackTM DSMIT® India Mark II pumps with membrane filter DSMIT® India Mark III pumps with membrane filter
	DSMIT Intensive Care Unit Furniture Emergency Room Hi-Lo Beds. Other Hospital Furniture (please enter specific item you are interested in)
	DSMIT Automobile Components Division U-Bolts for Auto Applications U-Clamps for any general purpose use (any size) Hi-Tensile Alloy Steel and Stainless Steel Fasteners Thread Rolled Fasteners (custom made to customer requirements) If you have any special requirement, please let us know
	DSMIT Automobile Components Division - Hi-Precision Machining Components requiring very high precision (e.g., For use in Nuclear Power Plants, Satellite Launch Vehicles) Please do state the requirement and use
	Special Requests or Comments? If there is anything missing in this form that you are specifically interested in, please write down the details here.

DSM Industries Trichy - Information Request Form

Your Name (Required)

Company Name (Required)

Street Address (Required)

City (Required)

State/Province (Required)

PIN/Zip/Postal Code (Required)

Country (if outside India)

Phone Number

Fax Number

Email Address (Required)