E-Mail FEED BACK FORM Doc. DIST9801. Rev0.2 ------------------------------------------------------------------ Please send this form to kim@jinho.com (not E-mail) ================================================================== a. Your company name ; a1. Policy or Mission ; a2. Experience for business : Year a3. Experience for cleanroom related region : Year a4. Founded / Established : ------------------------------------------------------------------- b. Mail address ; b1. Street; b2. City; b3. Zip code ; b4. Country ; ------------------------------------------------------------------- c. Your Contact c1. Person/Title; (Ms./Mr.) c2. E-mail; @ c3. Phone ; c4. Fax ; c5. Other Contact Persons c51. President; c52. Purchasing manager; c53. Marketing manager; C54. Sales manager; C55. Factory/Producing manager (If you are manufacturer) ; ------------------------------------------------------------------- d. Company profile about sales d1.Sales(US$)/month(past 6 month); d2.Currently your handling item(Distributing item) ; Products Maker/Model --------------- ------------------------------- d3.Currently your manufacturing item; d4.Major Customers List; Customer Name Customer's Products -------------- ----------------------- ------------------------------------------------------------------- d5.No. of employee ; ------------------------------------------------------------------- e. For Transportation e1. Nearest Port Location/ Port Name (For Ocean Shipping) e2. Nearest Air Port Location/ Name (For Air Shipping ) ------------------------------------------------------------------- Please attach your business card here ------------------------------------------------------------------- Where did you find Cleanroom supplies division of OLOO Incorporated (Former Nano Times Corp ). 1)Web URL : 2)Phone Book or Catalogs : Name .... 3)Advertising at --->Please specify Magazine Name : What search service used when you found Nano Time's Site. 1)http://www.nanox.com ( ) 2)http://www.google.com ( ) 3)http://www.alltheweb.com ( ) 4)http://www.yahoo.com ( ) or Please specify ( ) ------------------------------------------------------------------- END OF FORM