test Order Form 订货表格

Im 我是:	New customer 新顾客 Existing Customer 存在顾客
Name 姓名:
Age 年龄:	1 ~ 1516171819202122232425262728293031 ~ 3536 ~ 4041 ~ 4546 ~ 5050 Above
Email Address 邮址:
Contact No. 联系号码:
Delivery Address 递送地址:
Item Code 货物编号:
1.)
2.)
3.)
4.)
5.)
6.) and above 或以上:
Bankin 存款银行:	MaybankPOSB BankDBS BankUOB BankHong Leong BankOther
Account No 户口号码:
Choose Currency 选择货币 :	Singapore Dollar 新币Malaysian Ringgit 马币Chinese Renminbi 人民币US DollarEuroSterling PoundAustralian DollarCanadian DollarNew Zealand DollarDanish KronerHong Kong DollarNorwegian KronerSwedish KronerSwiss FrancJapanese YenThai BahtIndonesian RupiahBrunei DollarSouth African RandIndian RupeeKorean WonSri Lanka RupeePhilippine PesoSaudi RialNew Taiwan Dollar
Bank In Amount 存入总数额:
Bank In Date(d-m-y)存款日期(日-月-年):
Remark 评论:
Customer Request & Complain 顾客要求与投诉:
Please check this box to confirm that you understand and accept Young Line Street Terms & Conditions. 请勾选此格表明您理解并接受年轻时尚街条款及费用规则.	Yes 同意 No 不同意
Young Line Street