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Order Form for USB Modem Rental
*Rental Plans
Select Rental Plans
One Week inc. 1G/$65.00
Two Weeks inc. 1G/$80.00
Three Weeks inc. 1G/$85.00
Four Weeks inc. 2G/$100.00
One Week inc. 1G/$65.00
Two Weeks inc. 2G/$80.00
Three Weeks inc. 3G/$100.00
Four Weeks inc. 4G/$130.00
Each Supplementary 1MB: $2
*Rent Quantity
Select USB Rent Quantity
1
2
3
4
5
6
7
8
9
10
Delivery Information
*Delivery Address in China
*Hotel Checking In Date ( Month/Day/Year )
*Item to be Returned to Address
*Date of Picking Up ( Month/Day/Year )
Customer Information
Gender
Mr.
Ms.
*First Name
*Last Name
*E-mail Address
*Country
*Business Phone
Area Code Included Please
Your Message
By submitting this application form, you agree to China Mobile Phones USM Modem Rental
Terms and Conditions.
Agreement
I declare that I am the credit card holder and that I am authorized to sign for the full value of this order. I agree to pay for USB rental, data plan, delivery, picking up charges and VAT of 10% incurred by me.
*By entering your initials here, you agree to the terms and conditions set forth above:
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