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Application information

Applier's name:
Applier's Tel:
Applier's E-mail:
Applier's company:
Applier's company address:
Applier's zip code
Applier's company website:
Project name:
Product application:

Is the end customer address the same as the shipping address?

Sample Recipient Name:
Receiver's Address:
Receiver's Company:
Receiver's Tel.:
Receiver's Zip-code:
Sample Recipient Name:jaka Receiver's Address:广州市越秀区北京路xxx号 Receiver's Company:X-POWERS Receiver's Tel.:16345689752 Receiver's Zip-code:20020