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4 PERSONAL INFORMATION 订货人资料 (PLEASE FILL IN BLOCK LETTERS 请以英文正阶填写此栏) Recipient name 订货人姓名(Mr/Mrs/Ms)VIP Club Membership No.

会员号码 (if applicable 如适用) Company 公司名称:Industry 行业: Contact No. 联络

电话:E-mail 电邮地址: If you would like to receive confirmation throught SMS, please provide mobile no.如欲以 SMS 收取确认订单通知,请必须另填写手提

电话: ORDER DETAILS 订购优惠详情 备注栏 : For H?agen-Dazs? VIP Club member, bonus points will be transferred to your membership account within the month of your purchase. 如阁下是 H?agen-Dazs? VIP Club 会员,购物积分将於购货的月份内增至阁下提供之会员号码内. Product 产品名称 Standard Selling Price 标准价 QTY 数量 From now until

28 Feb

2014 由即日起至

2014 年2月28 日Qty(Set) 订购数量(套) Amount 金额 HK$38 Gift Voucher Set* HK$38 现金礼券套装* (8 Pieces per set) (1 套8张) HK$304/套(Set)

1 套(Set) HK$288.80/套(Set) HK$ 2-4 套(Sets) HK$273.60/套(Set) HK$ 5-9 套(Sets) HK$258.40/套(Set) HK$

10 套或以上 (Sets or above) HK$243.20/套(Set) HK$ Gift Voucher Sets and Freebies are avaliable while stock lasts. 所有礼券及赠品数量有限,售/送完即止. Local Courier Fee of HK$20/Urgent fees of HK$100 (if applicable) 本地速递服务费用 HK$20 /急件收费 HK$100(如适用) HK$ Total 总数 : HK$ RECIPIENT &

VOUCHER DELIVERY INFORMATION 收件人及送递资料(请以英文正楷填写此栏) Recipient name (Mr/Ms/Miss) (Full Name)Contact no. 收件人姓名(先生/女士/小姐) (请填写全名以便送递) 联络电话 NAME STATED ON RECEIPT (COMPANY /PAYER NAME) 收 (公司/付款人姓名) ? Gift Voucher Set Delivery (One Commercial/ Residential Address Only) 新年现金礼券套装直接送递 (只限一个商业/住宅地址) *Any purchase on

2 sets or above Gift Voucher Set, the local courier fee of HK$20 will be waived. *如购买新年现金礼券套装

2 套或以上, 可获豁免本地速递服务费用 HK$20 Recipient 收件人:Company Name 公司名称: Commercial/Residential Address 商业/住宅地址: PAYMENT OPTIONS 付款方法 ? 信用卡(Visa) ? 信用卡(MasterCard) ? Cheque 支票 ? Bank Transfer 户口转帐 (HSBC 香港上海汇丰银行户口号码: 111-498234-001) Credit Card No. 信用卡号码:Card Expiry Date 有效日期:Bank Name 发卡银行名称: Cardholder'

s Full Name 持卡人姓名:Cardholder'

s signature 持卡人签名(必须与信用卡相同) Remarks : 1.Once an order has been confirmed, the mentioned amount will be deducted from the captioned credit card account 订单一经确认,有关款项将从信用卡户口中扣除. 2. If you do not wish to receive further promotional email/ messages from us, please reply this email with subject of unsubscribe . 如不欲继续收取本公司的电邮推广,请回覆此电邮,并注明停止收取电邮推广. I hereby agree and give my consent to General Mills Hong Kong Limited for using my personal data (personal data includes Names, Gender, Personal ID, Date of Birth, Address, Telephone number, Email address, VIP Club number, Marital status, Education level, Income, Office address) for product launch, promotional offers, membership news, customers services, marketing/ products research and direct marketing. If I do not wish my personal data to be used by General Mills Hong Kong Limited in above activities, a tick will be put in this box?. 本人同意及确认 General Mills Hong Kong Limited 可使用本人的个人资料(个人资料包括: 例如姓名、性别、身份证号码、出生日期、地址、电话号码、电邮地址、VIP Club 会员号码、婚姻 状况、教育程度、收入、公司地址)作产品推广活动、最新优惠资讯、会员通讯、客户服务、市场/产品调查及直接促销之用.本人如不接受 General Mills Hong Kong Limited 使用本人的个人 资料作以上活动,并於此空格? 填上 号.Remarks : 1. Please refer to Page

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