Rapid Reply Form

Machinery and Industrial
Supplies Sdn Bhd
No 19, Jalan Dua,
Off Jalan Chan Sow Lin,
55200 Kuala Lumpur,Malaysia

Tel: (+603) 9221 9898
Fax: (+603) 9221 7878

RAPID REPLY FORM

Name

Position

Company

Contact details

Upon your completion of this form, we guarantee a response to you within 24 hours.
I have gone through your Product page and find the following products/items to be of interest to us:

I. Power Transmission Products

• Worm Reducer

• Helical Reducer

• Bearings

• Couplings

• Transmission Chains & Sprockets

• Electric motors

II. Pumps

• Progressive Cavity Pumps

• Twin Screw Pumps

• Triple Screw Pumps

• AOD Pumps

• Centrifugal Pumps

• Metering pumps

• Compact Dosing Systems

III. Industrial Products

• Mechanical Seals

• Gland Packing

• Wire Mesh

• Any other

         – Please state here

Please specify when you would like our representatives to call you:

Immediately

Within 1 month

Within 3 months

Later

Any other - Please specify: