TOURFONE LLC.
16455 SIERRA ST FOUNTAIN VALLEY, CA 92708-2105,  USA
Beijing office: Phone +86-10-8113-0373

Fax: 011-86-10-8595-2213(China)/ 1-877-218-5834(U.S)  
Please send your fax to China Data Center for faster processing * Required Information

Order form for prepaid China SIM

PERSONAL INFO.
Family Name ___________________________ *
Given Name ___________________________ *
Email ___________________________ *
Country U.S.          Japanese         Other  
Zip/Post Code ___________________________  
Province/State ___________________________  
City ___________________________    
Street Address ___________________________  
Home Phone ___________________________  
Work/Mobile Phone ___________________________ *
Fax ___________________________  
Age ___________________________  
Gender M                 F  
Occupation ___________________________  
Language English       Japanese        Chinese  
Passport Number ___________________________  
   
ORDER INFO.
Number of SIM   _______                                                                             $30 X  ___
Shipping Fee:
To USA or EU by Registered Airmail at $5     
To USA  by Express Mail at $25     
To EU by Express Mail at $28     
To China cities at $5　　
                                                                                                                      Total charge:______ 
SHIPPING INFO.
Contact/Hotel Name ___________________________ *
Street Address ___________________________ *
City ___________________________ *
Contact Phone Number ___________________________ *
Fax ___________________________  
Date (yy/mm/dd) ___________________________ *
Time ___________________________ *
 
CREDIT CARD
Card Type Amex Visa MC Disc JCB *
Card Holder Name ___________________________ *
Card Number ___________________________ *
Expiration Date ___________________________ *
Tourfone will report credit card fraud to authority and impose $ 200 penalty for invalid credit card information.
I herewith authorize Tourfone to charge my credit card for the above services and overage fees should it incur.
Signature__________________________ Date_______________
1/13/2006