Customer Name / Nama Pelanggan / 顾客姓名: Customer H/P No. / No. Bimbit Pelanggan / 顾客联络号码: Customer E-Mail / E-Mel Pelanggan / 顾客电邮:
Authorized Dealer / Pengedar / 商店名称: Dealer Mobile No. / No. Bimbit Pengedar / 商家手机联络号码: Dealer E-Mail / E-Mel Pengedar / 商家电邮: