EmailMe Form - THA E-Cylinder Form

Company name *
Account no. *
Contact person *
Telephone/mobile No. *
Fax no.
Email *
Have you ever loadged a complaint on the number of cylinder holding through our toll-free line? *
Yes
No
Dear Customer Service Officer,

Reference: Confirmation of cylinder holding
Please find below the cylinder holding at our physical site as at
MM / DD / YYYY
We would like to seek your help to confirm the following holding.
Item 1
Type of gas
Material code
Size/Capacity
Cylinder holding with customer (per cylinder)
Item 2
Type of gas
Material code
Size/capacity
Cylinder holding with customer (per cylinder)
Item 3
Type of gas
Material code
Size/capacity
Cylinder holding with customer (per cylinder)
Item 4
Type of gas
Material code
Size/capacity
Cylinder holding with customer (per cylinder)
Item 5
Type of gas
Material code
Size/capacity
Cylinder holding with customer (per cylinder)
Item 6
Type of gas
Material code
Size/capacity
Cylinder holding with customer (per cylinder)
Note
Customer service will respond to your request within the next 3 working days.

Please contact Customer Services Center at 1384 or +66.2.338-6338 if you do not receive our reply within 3 working days
Image Verification

Please enter the text from the image:
[Refresh Image] [What's This?]