Commercial attention

Name *

Last Name *

Company *

Sector

In case of other, please specify:

Position/Function

Address/Location
Street and Number   
State/Province           
ZIP Code                     
Country                       
Email *      
Telephone (Office):
Area code: Number:
Mobile Telephone
Area code: Number:
Areas of Interest
Trunking
Fixing
Telecom
All of them
OtherIn case of other, please specify:
How you consider your purchase? *
How often do you purchase Thorsmex products? *

In case of other, please specify:

Approximate amount of consumption *
Less than 5000
Between 5000 y 11000
Between 11000 y 20000
Between 20000 y 50000
More than 50000

Application / Requisition