order form

* Form for print out Fax:886-2-87713123 Order Ref. No.________________
Buyer
* Name:   Your E-mail:  
ID number:(option)   * Purchase date:
____Month/____day/_____year 

* Pay by:
tick in [  ]

[  ] VISA    [  ] MasterCard   [  ] JCB   [  ] Union credit card
* Card Issuing Bank name in full

 [  ]  To posting transfer A/C#: 1212645-6
[  ]  To credit Card A/C#: 01-016-1583-2
A/C name: Tang Hill international Ltd
*Credit card number:
* Valid date: ______ through ________
* Card Security Code (last 3 digits check number):__________
* Card holder's authorized 
signature:		  
* Billing Address:

 
 
 

 
Phone number: (day) -
(night) -		 ** authorized code:  
Ship To (Fill only if different from your billing address)
Name:  
Shipping address:
(Preferable all  capitalize)
 
Telephone: (day)_______________________ (night)_______________________
Order contents
Product No. Descriptions quantity
 Unit 
price		 Sub-ttl 
1.        
2.        
3.        
4.        
5.        
6.        
7.        
8.        
*Sur-charge Shipping cost(EMS [  ] / airmail [  ] / other [  ]) / Credit Card handling:
  
Order Sum: Total page:____  Quantity: ____ Amount(NT$/TWD,New Taiwan dollar):
1. Field indicated in * is required to fill out . Marked with ** is for THL use only.
2. Use attach-on page(s) to fill more items in, if applicable.
3. For security reason, please send order form by fax or image file as attachment. 
4. Capitalize the shipping address or send copy of shipping address by email to ensure the correctness
5. Report shipment discrepancy must be within 7 days of receipt. 
6. The credit card holder agreed that above order was firmed and will pay the same amount to card issuing Bank. 
 

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* Form for continued page(s), if required

 

 

 

 

 

order form          Order Ref. No.________________

Order contents
Product No. Descriptions Quantity unit 
price		 Sub-ttl 
1.        
2.        
3.        
4.        
5.        
6.        
7.        
8.        
9.        
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13.        
14.        
15.        
16.        
17.        
18.        
19.        
20.        
Authorized signature for attach-on page(s), if any:      

Page:___of___   Sub Quantity:  Sub total(NT$/TWD,New Taiwan dollar):