| TO
Business Express P. O. Box 44-164 Taipei, Taiwan Fax: 886-2-27353198 Tel: 886-2-27352078 |
US$ 200 (Reg. Airmail Postpaid) |
| PAYMENT
[] 1. CHECK: US$ Check Make Payable To Business Express [] 2. BANK TRANSFER: Bank Account: The First Commercial Bank, Tun Hwa Branch, Taipei, Taiwan A/C#16410043741 Account Name: Business Express [] 3. CREDIT CARD:
Country:
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| *Last three digits: on panel back of the credit card. |