REQUEST A SAMPLE Switch Sample Request Form Please do not enter a Freemail or Private Email Address. Part Number / Product Name * add * Maximum sample order quantity is 1. Please contact customer service for additional samples. First Name * Last Name * Title / Position * Company * Corporate Phone Number * Corporate Email Address * Corporate Address 1 * Corporate Address 2 City * State / Province Post Code * Country * Select Algeria Angola Armenia Australia Austria Azerbaijan Bahrain Belarus Belgium Bosnia and Herzegovina Botswana Brunei Darussalam Bulgaria Burundi Cambodia Cameroon Central African Republic Channel Is China Congo, The Democratic Republic of the Côte d'Ivoire Croatia Cyprus Czech Republic Denmark Egypt Eritrea Estonia Ethiopia Finland France Germany Ghana Greece Hong Kong Hungary Iceland India Indonesia Iraq Ireland Israel Italy Japan Jordan Kazakhstan Kenya Kuwait Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Malta Mauritius Moldova, Republic of Montenegro Morocco Mozambique Namibia Netherlands New Zealand Nigeria Norway Oman Pakistan Philippines Poland Portugal Qatar Romania Russia San Marino Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa South Korea Spain Sri Lanka Sweden Switzerland Taiwan Tanzania, United Republic of Thailand Tunisia Turkey Uganda Ukraine United Arab Emirates United Kingdom United States of America Vatican City State Viet Nam Zambia Zimbabwe Industry * Select Aerospace Agriculture Audio & Broadcast Automation Automotive Biotech College / University Consumer Distributor / Rep Firm Energy & Power Food & Beverage Gaming Government (non-military) Industrial Live Entertainment Marine Medical / Healthcare Military Other POS (Point of Sale) Server / Telecom Transportation Project Name * Application Description * EAU * Prototype Date * Production Date * Additional Info / Comments Are you a current NKK customer? * yes no Do you have a preferred Distributor that you work with? Please confirm that you understand and accept the "Privacy Philosophy". Agree Privacy Philosophy NKK Switches wants to make your experience online satisfying and safe. Our data collection policies allow you to choose how much information to provide to us and to control how we use whatever information you tell us. Our goal is to provide you with a robust experience while allowing you to control your privacy and giving you a means to voice any questions or concerns you may have. Information is collected from you primarily to make it easier and more rewarding for you to use our services. Depending on the service you are accessing, you could be asked at various times to provide information such as your name, email address or information about what you like and do not like. On other occasions when we provide items for purchase online, we may request your credit card number to conclude the transaction or your mailing address to ensure proper delivery. We request this information to provide our strongest value to you - a personalized online experience. Customer's who personalize our service come back more often - and it's the customers that visit us often who make us successful - so we do everything we can to make NKK Switches your service with your name all over it and give you just the content you need.