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 PRODUCTS & TECHNOLOGY 
 VALUE ADDED/CONTRACT MANUFACTURING QUESTIONNAIRE 

Pioneer Magnetics, Inc. (PMI) continues to offer value-added support as well as Contract Manufacturing. This

Last Name
First Name
Title
Date
Company Name
Address
City, State & Country
Telephone Fax: **Email:
    
What is your company's primary business?
What are your contract manufacturing requirements?
Project Name
Project Application
Task Definition
   
First Article Lead Time?
Production Lead Time?
Budget Target?
Product Quantity?
Bill of Material Available? Yes     No
Assembly Prints Available? Yes     No
Offshore Restrictions? Yes     No
Safety Agency Requirements? Yes     No
If Yes, Please Explain
   
Is A Sample Product Available For Review? Yes     No
   
Other Comments

** Required Field

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