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<p style="BACKGROUND-COLOR: #ffffff" align="center"><b><font color="#0000FF" size="5">抗 磨 靈 訂 購 單</font></b></p>
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<p style="MARGIN-LEFT: 5px"><font size="2">訂 購 人：<input name="訂購人：" size="20">
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mail</font><font size="2">：<input size="29" name="mail："></font></p>
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<p align="center"><font size="2">抗磨靈省油王</font><font size="2" face="Verdana">(</font><font size="2">汽車用</font><font size="2" face="Verdana">)</font></p>
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<td style="BACKGROUND-COLOR: #ffffff" vAlign="center" align="middle" width="328" bgColor="#ffcc00" height="30"><font color="#ff0000" size="2">您要購買<input size="7" name="抗磨靈省油王">瓶</font></td>
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<p align="center"><font size="2">抗磨靈省油強</font><font size="2" face="Verdana">(</font><font size="2">機車用</font><font size="2" face="Verdana">)</font></p>
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<td style="BACKGROUND-COLOR: #ffffff" vAlign="center" align="middle" width="328" bgColor="#ffcc00" height="29"><font color="#ff0000" size="2">您要購買<input size="7" name="抗磨靈省油強">瓶</font></td>
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<p style="MARGIN-LEFT: 5px"><font size="2">送貨地址：<input size="57" name="送貨地址"></font></p>
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<p style="MARGIN-LEFT: 5px"><font size="2">送達時間：<select name="送達時間">
<option>上午</option>
<option>中午</option>
<option>下午</option>
<option selected>任何時間皆可</option>
<option>請選擇 ---</option>
</select></font><font size="2"> </font><font size="2" face="Verdana">
</font><font size="2">付款方式：貨到收款</font></p>
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<p class="MsoNormal" style="LINE-HEIGHT: 150%; mso-line-height-rule: exactly" align="center"><span style="font-family: 新細明體; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman"><font color="#008000">抗磨靈股份有限公司</font><font color="#800000"><span style="FONT-FAMILY: 新細明體; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">業務推廣員 李湘亞</span></font></span></p>
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<p align="center"><font color="#0000FF" size="4">諮詢服務專線：<font face="Verdana">0916-027048</font>、<font face="Verdana">0927-781331</font></font></p>
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