萃取物詢問單 / Herbal Extract Inquiry
連絡人 / Full Name *
公司名稱 / Company
E-mail 信箱 / E-mail *
電話 / Phone no. *
如果留室話,請加上區碼。/ Please add the country code and area code of your phone number
傳真 / Fax
如果留室話,請加上區碼。/ Please add the country code and area code of your phone number
地址 / Company address *
請加上郵遞區號 / Please add the postal code
送貨地址 / Ship to *
詢價產品 / Herbal Extract Inquiry *
請提供產品名稱、規格(萃取比例或有效成分)、需求量(以kg為單位,最低訂量為5kg) / Please write down product name, spec (ratio or active ingredients) and quantity (minimum order: 5kg)
特殊需求 / Remark
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