Order Form


Name:_______________________________________________

Address:______________________________________________

_____________________________________________________

_____________________________________________________

City:____________________    

Zip:_____________________     

Phone:__________________      

State:_____________________

Country:___________________

Fax:______________________ 

E-mail:__________________ 

Item description:_______________________________________

Quantity:_____________________________________________

Special Requirement:___________________________________

_____________________________________________________

_____________________________________________________

 

 Date:____________________   

Signature:__________________

Fax To:

(852) 2893-0702

Write To:

Zero Image Company

Unit 902,

Workingview Commercial Bldg.,

21 Yiu Wa Street, 

Causeway Bay,

Hong Kong