| *Corporate name: |  | |||
|---|---|---|---|---|
| *Contacts: |  | *Contact number: |  | |
| *Sample model: |  | *Sample brand: |  | |
| *Demand quantity: |  | |||
| *Detailed address: |  | |||
| *Notes: |  | |||

 
                         
                         
                         
                         
                 
                