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　Personal  information
Name:
Sex: Sir Madam
Company:
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　Goods information

　　I am interested in the following goods:
Color TV:
Changhong Projection
Konka		 Changhong
Air Conditioner: Changhong
TCL
Galanz

Fridge & Washing Machine:

 Siemens Fridge
Toshiba Fridge
Little Swallow  Washing Machine
Total Amounts:

   50~100    100~200      200
Message:
(Product series & mode)