Birthday Choice Application Form
Information | ||||||||||||||||||||||
Birth place: |
* | |||||||||||||||||||||
Husband: |
Birthday
* ( If was born abroad, please fill in foreign time ) |
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Birth place: | * | |||||||||||||||||||||
Wife: |
Birthday
* ( If was born abroad, please fill in foreign time ) |
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Birth place: | * | |||||||||||||||||||||
Fetal Info: | The Fetus B-ultrasound jerque Fetal Sex * | |||||||||||||||||||||
Pregnancy: | * | |||||||||||||||||||||
Estimates of birth: | * | |||||||||||||||||||||
Remark: | ||||||||||||||||||||||
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Loading user information
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Please carefully check the contents:
Birth place:
Husband:
Birth place:
Wife:
Birth place:
Fetal Info:The Fetus B-ultrasound: Fetal Sex:
Pregnancy:
Estimates of birth:
Contact person: Address:
Tel: Mobile: Email:
Remittance: Currency: Bank:
Discount amount: RMB
Husband:
Birth place:
Wife:
Birth place:
Fetal Info:The Fetus B-ultrasound: Fetal Sex:
Pregnancy:
Estimates of birth:
Remark: |
Tel: Mobile: Email:
Remittance: Currency: Bank:
Discount amount: RMB
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Verification code:
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