1. Company Name:
2. Contact Person:
3. Job Title:
4. E-mail:
5. TEL:
6. FAX:
7. Address:
8. Country:
9. Your Company's Business Function are :
Importer
Exporter
Trade (Import-Export)
Manufacture
Wholesaler
Agent
Dept./Chain store Buyer
Retailer
Mail Order Operation
Other
10. Purpose of Inquiring:
11. Your Requirement:
12. Credit Card Authorization Form :
Please print out the
Credit Card Authorization Form
as attached and fill out your card number and information send return by Fax: 886-2-8228-0777, thank you!