特快傳真 服務申請表 Application Form - eFax

1 INTERSOFT WEB SERVICES LIMITED 111 12D Unit D, 12/F, Kings Tower, 111 King Lam Street, Lai Chi Kok, Kowloon Sales Hotline +852 2361-8283 Fax +852 3011-3011 Email: HK-F05 [ ] Application Form Company Name Chinese English BR No. Person Name Chinese q q Title Mr. Miss Mrs English ID Card No. Correspondence Address Chinese English Office 1) 2) Residential 1) 2) Mobile 1) 2) Fax 1) 2).

2 Email Plans Receive Send Fax No. Monthly Fee 6 Six Months Fee 12 Twelve Months Fee 1) Basic Plan 200 Pages 100 Pages 1 HK$40- q HK$240- q HK$384- 2) Single Plan Unlimited 1000 Pages 1 HK$70- q HK$420- q HK$672- 3) Corporate Plan Unlimited 1000 Pages 5 HK$250- q HK$1,500- q HK$2,400- : / SMS 20 Fax Broadcasting 300 ** Please attach with Business Registration or Identification Copy Declare: On behalf of my company, I / we order the above service(s) and confirm that the above information is correct.

3 Name : Position : Date : ( ) Authorised Signature & Company Chop