Image Associates

Division of Image Electronics, Inc.

A Customer Service organization for sourcing Custom Fabrication and Electronic Components

to OEM & EMS manufacturers throughout North America since 1992

3625 E. Thousand Oaks Blvd., Suite 123 · Westlake Village, CA 91362
805.777.1106 Fax 805.777.1136 sales@imageassoc.com

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Image Associates Customer Response Card

Please take a few minutes to fill out this form so we can tailor an information package for you. You can also contact us at 805.777.1106 or by fax at 805.777.1136

General Information:
I am interested in:
Name:
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Fax:
Email:

Please send me the following information:
Sales Literature	Technical Specs
My requirement is:
Project Status:
Please contact me by:
Email	Regular Mail
FAX	Phone
Comments on site:
I am/will be working on the following:
Prototype development	Production
Quantity of Units Needed:
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Program Name:
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Samples of Part Number:
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Cross Competitive Part Number:
Manufacturer:
Estimated Annual Usage:
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Questions or Comments:

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