print out this form and send it to us by fax or use this as a guideline
on how to order by e-mail
HQ Group Co.,Ltd.
3/31 Samlan Rd, Tambon Phrasing, Amphur Muang, Chiangmai, 50200
Tel: (66 53 814 717-8) Fax: (66 53 814 719) Email: firstname.lastname@example.org