Order Form

Please fill in order form below and click the Send button.  We will contact you for further details and handling.

Item Code: 

Quantity: 

Size: 

Delivery Address:
Postal Code: 

Payment Method:
Credit Card No.: 
Credit Card Holder Name: 
Credit Card Expiry Date: 

For Overseas Order Only:
Shipping Method:  UPS  FedEx  DHL


Personal Information:
Name: 
Phone:     Area Code: 
Fax:    Area Code: 
Email:

¡@

To send, please click           To reset, Please click RESET

¡@

BACK

¡@

Hosted by www.Geocities.ws

1