方沃訂購單 Funatwork Order Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

方沃訂購單 Funatwork Order Form

Pay by remittance匯款資訊

方沃
Bank 銀行代號：012 (台北富邦銀行)
Branch分行代號: 4623 (東門分行)

Account 帳號: 039-01001795-600
匯款附註欄位請留空白，方便查帳，另外也請保留您的匯款紀錄

Note: The information is only used for product order, we will not provide the information to third party or use it for other purposes.
備註: 方沃有義務保護您的個人隱私，此表單資料僅供方沃產品訂購使用，方沃不會將資料提供給第三人，或移作其他目的使用。

Sign in to Google to save your progress. Learn more

訂購產品 Order Product *

Leap

Gesture

Series1

Series2

Think

Karman

Migration SE Pro升降桌

Flex Adjustable Desk 升降桌

其他

Required

顏色與規格

頭枕 Headrest *

有 Yes

無 No

換軟輪 Change to soft casters

不需要 No (地毯use on carpet)

需要 Yes (硬地板.木板地use on wood floor, stone or tile floor)

其他

Clear selection

數量 Quantity *

送貨地址(含樓層) Address (include floor) *

是否有電梯 Do you have elevator?

有 Yes

無 No

Clear selection

如何稱呼您 Name *

電子信箱 Email *

連絡電話 Phone *

收貨人姓名 Name of receiver(同上者免填)

收貨人電話 Receiver's number(同上者免填)

付款方式 Way of Payment *

信用卡 Credit card (需至展間親刷)

匯款 Remittance

現金 Cash

Other:

統一發票種類 Receipt type (cloud invoice) *

二聯電子發票 two in one (e-receipt)

三聯電子發票 (下題留統編資料) three in one (business use)

手機載具條碼 (carrier)

Other:

手機載具條碼 (Carrier, please enter mobile barcode)

Captionless Image

統一編號(三聯發票使用) Tax ID number (VAT)

統編抬頭(三聯發票使用) Tax title

此次付款金額 Payment amount *

您的帳號後五碼 the last 5 digits of your bank account

電子發票寄發信箱(Receipt receive email) 同上者免填

備註: 若有其他需求或問題可填寫

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy