Repayment Shou sheng qian Form

My Info

Forecast ID：

Name：

Present Address：

Work unit：

Remark：

Contact Information

Contact person:

Address:

Tel:

Mobile:

Email:

Remittance：

元	Price List

Bank：

Remittance date *

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Forecast ID：
Name：
Present Address：
Work unit：

Remark：

Contact person: Address:
Tel: Mobile: Email:
Remittance: Currency: Bank:
Discount amount: RMB

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