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USER NAME*:
PASSWORD*:
   
NAME* :
COMPANY* :
EMAIL* :
TEL* :
FAX* :
ADDRESS :
CITY :
STATE/COUNTRY :
ZIP CODE :
 
TYPE OF BUSINESS :
IMPORT    EXPORT
TRADING  MILLER
OTHERS :
 
PRODUCT RANGE (ORDER THAN RICE):
 
INTERESTED RICE TYPE:
THAI JASMINE RICE, HOM MALI RICE
THAI PATHUMTHANI FRAGRANT RICE
THAI LONG GRAIN WHITE RICE
THAI WHITE RICE
THAI PARBOILED RICE
THAI GLUTINOUS RICE
THAI JASMINE RICE A.1 SUPER
THAI JASMINE RICE A.1 EXTRA SUPER
OTHER VARIETY (PLEASE SPECIFY)
 
YOUR CUSTOMERS:
SUPERMARKET RETAIL STORE
IMPORTER        WHOLESALER
MILLER             REPACKER
OTHER (PLEASE SPECIFY)
 
BUSINESS AREA COVERAGE:
ASIA                     MIDDLE EAST
EUROPE                AUSTRALIA, NEWZEALAND AND OTHER OCEANIC COUNTRIES
NORTH AMERICA LATIN AMERICA
AFRICA
OTHER (PLEASE SPECIFY)

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