Contact form - Amplitude

Company name / 公司名称

Name / 您的姓名 *

Email / 邮箱 *

Phone / 电话

WeChat

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Application sector / 您感兴趣的应用

Industrial / 工业

Medical / 医疗

Scientific / 科研

Technical needs / 技术需求

Specifications / 规格参数

Product / 产品

Product line / 产品线

Desired date of installation / 预计安装时间

Comments / 备注或其他建议

Explicit consent / 隐私政策

By submitting this form, I agree that the information entered can be used by Amplitude Laser Group in accordance with my request for information.

Customer Information Form