Sales Enquiry Form

* indicates compulsory fields

Customer Details

What Industry Are These Gloves Being Supplied To?*

Medical
Dental
Food Service
Industrial
Private Hospital Tender
Ministry of Health
Government Hospital Tender
Cleaning

Any Special Requirements for the Gloves?

1) Any 3rd Party inspection required?:
2) What is the Inspection Agency?(SGS, Intertek, BV, or others?):
3) What is the basis of the inspection (Full ASTM/ Partial ASTM/ EN/ Other)?:
4) Any inspection required by the country's MOH or relevant health authorities like Water Tight Test?:
5) Any standards applicable for these gloves? EN, ASTM or others? Please indicate:
Reason for Sourcing New Supplier *:

Types of Gloves You Are Interested In*:

(Glove Weight is referring to size M)
No. Type of Glove Y/N Weight Length Color Indicative Price (USD) Remarks
1 Latex Powdered
2 Latex Powder-Free
3 Nitrile Powdered
4 Nitrile Powder-Free
5 Vinyl Powdered
6 Vinyl Powder-Free
7 Latex Surgical Powdered
8 Latex Surgical Powder-Free
9 Nitrile Surgical Powder-Free
10 Latex Household Flocklined
11 Latex Household Polymer-Chlorinated
12 Cleanroom Latex
13 Cleanroom Nitrile
14 CPE
15 TPE
16 Other:

** Please indicate any additional information in the remarks column.
(eg. For Surgical gloves, you may indicate the packing style [Bi-fold / Long-packed / Thermoform] or etc.
For Cleanroom gloves, you may indicate the class, particle count or etc.)

Estimated Volume in Past 6 Months* :
Payment Term* :
Other :
Incoterms* :
Other :
Glove Brand* :
Brand Name :
Other Comments :