XL Plastics-Customer Registration

Customer Registration _____

Dear Customers,

It is our continuous effort to keep our records updated but due to changes in telephone number, sales tax number, central excise number etc. we would like to keep our database updated. Kindly fill in the details so that we can keep you regularly informed about the latest machines.

Thank you.

*Compulsory fields

Company name :*
Contact persons(s) :
Office address :
Office ph. no. : Phone1
: Phone2
: Phone3
Office fax No. :
Factory address :
Factory ph. no. :Phone1
:Phone2
Factory fax no. :
Mobile phone no. :
Email address : *
Website URL :

C.S.T. no.:
L.S.T. no.:
E.C.C. no.:

Sr. No.	Machine Type	Model No.	Year mfd.	Machine Serial No.

1
2
3
4
5
6
7
8
9
10

Reference:

Machine Type :	CLB for Clutch Brake
	STP for Stepper Motor
	DELTA for Servo Motor
	For Mahcines except Flexo Printing

Model No. :	Refer Name Plate on the Machine
	E.g. SS 800, VXP1-450, etc
Year Manufactured :	Refer Name Plate on the Machine OR Invoice
Machine Sr. No. :	Refer Name Plate on the Machine

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