Request Form for Fabric sample(* must be fill)

       Name:          *

       Fax/Tel:        *IMPORTANT

       E-MAIL:          *IMPORTANT

       PO Box:       

       ZIP:              

       Country:      

       Address:       Unit/Flat , /F,

                            Bldg, 

                             No , Street , 

                             District , 

                             Area , 

                             Country            

       Fabrics No.:   ,  ,  ,  ,  ,

                             ,  ,  ,  ,  *   or similar design